张绪生　朱　云　刘　毅

(兰州军区总医院烧伤整形科兰州730050)

张绪生男,1954年生,1979年毕业于第四军医大学医疗系,兰州军区总医院烧伤整形科副主任,副主任医师。发表医学论文30余篇。获省部级科技进步奖一等奖1项,二等奖1项,三等奖4项,四等奖5项。1996年被兰州军区评为科技新星。[摘要]目的:防止小儿烧伤后瘢痕增生引起的畸形挛缩和功能丧失进行性加重。方法::瘢痕切除及畸形复位,采用局部皮瓣,扩张后皮瓣,远位皮瓣,带真皮下血管网的皮肤移植及全厚、中厚大张皮肤移植。结果:使创伤部位的组织缺损得以功能和外观恢复。结论:小儿功能部位深度烧伤后瘢痕挛缩畸形不断加重时,治疗得当可避免发生发育障碍和功能丧失。

[关键词]烧伤功能部位畸形整复

[中图分类号]R726.2[文献标识码]A[文章编号]1008-6455(2000)05-0365-03

PLASTIC REPAIRING OF BURNS EARLY AND LATE IN CHILDREN窼

FUNCTIONAL REGION

ZHANG Xu-shengZHU YunLIU Yi

Depart.Burn and Plastic Surgery,LanZhou General Hospital,

LanZhou Military Command of PLA(LanZhou 730050)

[Abstract]Objective:To protect the cicartricial contraction deformities becoming more serious from postburn scar hypertrophy in children.Methods:According to the needs of wounds after excision of scars and reduction of deformities soft tissue defects have been repaired with local skin flap expandal skin flap,distant skin flap etc.Results:Skin soft tissue defects in all regions have been repaired in appearance and function,and obtained satisfactory results.Conclusion:Deep burn may cause cicartricial contraction in children,deformity become more serious,reasonable therapy should help to avoid function lose and decrease operation numbers.

[Key words]BurnFunctional regionDeformity plasty

烧伤后功能部位的瘢痕增生挛缩,是导致该部位功能丧失和外观畸形的主要原因,在没有可靠的控制瘢痕增生的方法时,手术整复仍不失为治疗此疾的较好方法。要使丧失的功能和该处的外观恢复原状甚为困难,特别在儿童的发育成长期,瘢痕一旦形成挛缩,即可随时间延长而加重畸形,如不及时处理,就会造成难以修复的功能丧失。ノ铱10年来对小儿功能部位畸形手术整复248例,效果较为满意,现报导如下。

1临床资料ナ罩248例,男133例,女115例;年龄11个月～12岁;烧伤208例,热压伤及电接触伤28例,外伤12例;伤后整复手术时间:半年以内的68例,三年以内170例,超过三年的10例,其中……