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目的:根据不同类型足部电烧伤创面的修复方法,观察足部电烧伤的治疗效果,总结治疗经验。方法:对1998-05/2008-08收治的21例26侧足部电烧伤患者分别行扩创后直接闭合以及不同类型的皮瓣修复。结果:术后皮瓣一期成活22侧,4侧经二期扩创也均全部成活,达到修复创面、恢复功能的目的。结论:足部电烧伤创面应一期选择适宜皮瓣修复,在选择皮瓣中应遵循选用蒂部远离烧伤创面的皮瓣的修复原则。
OBJECTIVE: To observe the therapeutic effect of foot electric burn and summarize the treatment experience according to different types of foot electric burn wound repair methods. Methods: Twenty-one patients with 26 lateral foot electric burns admitted from May 1998 to August 2008 were directly closed with different types of flaps. Results: There was 22 flaps survived in one stage after operation, and all flaps survived in 2 flaps after 4 flaps, which achieved the goal of repairing the wound and restoring function. CONCLUSIONS: Foot electric burn wounds should be repaired by appropriate skin flap in one period, and the principle of repairing skin flap pedicled with burn wounds should be followed in choosing flap.