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目的回顾性分析手部深度烧伤不同治疗方案,对手部功能恢复的影响。方法对183例(343只手)深度烧伤创面病例,分为局部换药自愈组,局部换药至肉芽创面产生后作大张自体皮移植组,早期深度创面切削痂后自体皮大张移植组,进行统计分析,观察手部功能恢复情况。结果局部换药自愈组残废率最高,肉芽创面产生后作大张自体皮移植组残废率次之,早期切削痂后自体皮大张移植组残废率最低。结论早期切削痂后大张自体皮移植术,是降低手部深度烧伤患者残废率的最佳选择。
Objective To retrospectively analyze the effects of different treatments of hand deep burn on hand function recovery. Methods A total of 183 cases (343 hands) of deep burn wounds were divided into local dressing self-healing group, partial dressing dressing to granulation wound, and then to make autologous skin graft group. In the early stage of deep wound crusting, Group, statistical analysis, observation of hand function recovery. Results The local dressing self-healing group had the highest rate of disability, followed by granulation and wound dressing, followed by large autologous skin grafting group. The rate of disability after autologous skin grafting was the lowest in early crusting. Conclusion Early autologous scalp skin graft after grafting, is to reduce the hand deep burn patients the best choice for the rate of disability.