电刀浅筋膜层切痂中厚皮移植治疗手深度烧伤临床价值分析.docVIP

电刀浅筋膜层切痂中厚皮移植治疗手深度烧伤临床价值分析 　　doi：10.3969/j.issn.1007-614x.2014.22.27 　　摘要目的：探讨应用早期电刀浅筋膜层切痂大张自体中厚皮移植技术对手部深度烧伤患者实施治疗的临床效果。方法：2011年6月-2013年6月收治深度手部烧伤患者74例，随机分为对照组和治疗组各37例。治疗组采用早期电刀浅筋膜层切痂大张自体中厚皮移植技术治疗；对照组采用传统手术方法。比较两组临床疗效。结果：治疗组手部烧伤病情治疗效果明显优于对照组；手术操作时间、术后恢复治疗时间、手部功能和外观复常时间明显短于对照组；围手术期不良反应例数明显少于对照组。结论：应用早期电刀浅筋膜层切痂大张自体中厚皮移植技术对患有深度手部烧伤的患者实施治疗的临床效果非常明显。 　　关键词早期电刀浅筋膜切痂；大张自体中厚皮移植；深度手部烧伤 　　Analysis of the clinical value of electric knife superficial fascia escharectomy and split thickness skin grafting in the treatment of deep hand burn 　　Tian Baoxiang，Fan Hua，Lin Hailong，Yang Xiong，Liu Yang，Wei Chunlin，Liu Fengbin 　　Department of burn and plastic surgery，General Hospital of the Jihua Group Company of Jilin City，Jilin 132022 　　AbstractObjective：To investigate the clinical effect of application of early electric knife superficial fascia escharectomy autologous split thickness skin grafting technique on patients with hand deep burn.Methods：74 cases with hand deep burn were selected from June 2011 to June 2013.They were randomly divided into the treatment group and the control group with 37 cases in each.The treatment group were treated with early electric knife superficial fascia escharectomy autologous split thickness skin grafting technique treatment；the control group were treated with traditional operation method.Compare the clinical effect of the two groups.Results：Treatment effect of hand burns in patients of the treatment group was better than that of the control group；the operation time，postoperative recovery time，hand function and appearance of the recovery time were shorter than those of the control group；peri operation period of adverse reactions were significantly less than the control group.Conclusion：Application of early electric knife superficial fascia escharectomy autologous split thickness skin grafting technique on patients with hand deep burn can have an obviously treatment effect. 　　Key wordsElectric knife escharectomy during early superficial fascia