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烧伤挛缩的治疗(作者译)

[Treatment of burn contractures (author's transl)].

作者信息

Coerdt I

出版信息

Z Kinderchir Grenzgeb. 1980 Jul;30 Suppl:142-5.

PMID:7456705
Abstract

Serious deformation and complete loss of function are not uncommon sequelae of an insufficient treatment of thermic, chemical or electric injuries to the hand. In order to reconstruct the shape or function of the hand once contractures are present, it is necessary to excise the scars completely, and follow with a skin-graft. For this purpose, transposition flaps, free skin grafts and Z-plasty may be considered. Particular importance is attached to an extensive splint therapy, by means of which late results can be improved.

摘要

手部热烧伤、化学烧伤或电烧伤治疗不充分时,严重畸形和功能完全丧失是常见的后遗症。一旦出现挛缩,为重建手部外形或功能,必须彻底切除瘢痕,然后进行植皮。为此,可考虑采用转移皮瓣、游离皮片移植和Z成形术。广泛的夹板治疗尤为重要,通过这种方法可改善后期治疗效果。

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