早期整形手术治疗老年深Ⅱ度烧伤患者创面愈合后瘢痕挛缩畸形和关节功能障碍的临床疗效

发布时间：2018-06-22 22:51

本文选题：整形 + 烧伤　；参考：《中国老年学杂志》2017年03期

【摘要】：目的探讨早期整形手术对老年深Ⅱ度烧伤创面愈合后患者瘢痕挛缩畸形和关节功能障碍的临床疗效。方法按照随机数字表法将73例老年深Ⅱ度烧伤患者分为观察组(n=37,关节数45个)和对照组(n=36,关节数42个),对照组患者创面愈合后采用常规的治疗和功能锻炼,观察组患者创面愈合后在对照组治疗方案的基础上行早期整形手术。术后3、6、12个月对患者进行随访,比较两组患者治疗后的瘢痕挛缩畸形以及关节功能障碍的改善情况。结果观察组患者各部位植皮的平均存活率均超过97.00%,其中手部和肩部的平均植皮存活率最高。治疗后第12个月,观察组患者的关节功能改善情况优于对照组;临床治疗效果明显优于对照组;总有效率高于对照组(均P0.05)。结论早期整形手术可明显改善老年深Ⅱ度烧伤患者创面愈合后的瘢痕挛缩畸形和关节功能障碍,临床治疗效果显著。
[Abstract]:Objective to investigate the clinical effect of early plastic surgery on scar contracture deformity and joint dysfunction in elderly patients with deep second degree burn wound healing. Methods Seventy-three old patients with deep second degree burn were divided into observation group (n = 37, joint number 45) and control group (n = 36, joint number 42). The patients in control group were treated with routine treatment and functional exercise after wound healing. The patients in the observation group underwent early plastic surgery on the basis of the treatment plan of the control group after wound healing. The patients were followed up for 6 months and 12 months after operation to compare the improvement of scar contracture deformity and joint dysfunction after treatment between the two groups. Results the average survival rate of skin grafts in the observation group was more than 97.00, among which the average survival rate of the hands and shoulders was the highest. At the 12th month after treatment, the improvement of joint function in the observation group was better than that in the control group; the clinical treatment effect was significantly better than that in the control group; the total effective rate was higher than that in the control group (P0.05). Conclusion early plastic surgery can significantly improve scar contracture deformity and joint dysfunction after wound healing in elderly patients with deep second degree burn.
【作者单位】：四川省医学科学院四川省人民医院城东病区胃肠烧伤科;
【分类号】：R62

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