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目的:探讨手部深Ⅲ度烧伤中晚期的植皮手术治疗的方法和疗效。方法:选取2011年1月~2016年1月收治的65例手部Ⅲ度烧伤且无肌腱外露创面(共87只手)开展对照试验。根据随机原则分组,对照组30例42只手,治疗组35例45只手。对照组烧伤患者休克期过后行手部削切痂+植中厚皮片,治疗组烧伤患者休克期过后先行切痂封闭负压引流术再植中厚皮片修复创面。结果:治疗组患者手部愈合后皮片成活率均优于对照组,P<0.05,两组比较差异具有统计学意义。结论:手部Ⅲ度烧伤创面先使用封闭负压引流后在植中厚皮片能明显提高皮片成活率,缩短疗程,减少瘢痕产生。
Objective: To explore the method and effect of mid-late stage skin grafting in hand deep third degree burn. Methods: A controlled trial was conducted in 65 cases of third degree burn with no tendon exposure (total 87 hands) from January 2011 to January 2016. According to the principle of random grouping, control group, 42 cases of 42 cases, 35 cases of 45 cases of the treatment group. In the control group, the hand incision scab + implant thick skin flap was performed after the shock period, and the wounds in the treatment group were treated with escharectomy and negative pressure drainage to repair the wound. Results: The healing rate of skin graft in the treatment group was better than that in the control group (P <0.05). The differences between the two groups were statistically significant. Conclusion: The first-degree burn wounds in hand treated with closed negative pressure drainage can significantly improve the skin graft survival rate, shorten the course of treatment and reduce the occurrence of scars.