手部深度烧伤的早期处理与瘢痕的防治

Treatment of hand deep burn wounds in the early stage and prevention of scar formation

目的 :总结手部深度烧伤的早期处理与增生期瘢痕的防治经验。方法 :烧伤早期全程采用皮肤再生医疗技术治疗 ,典型的深Ⅲ度烧伤创面早期辅以“坏死层薄化技术”处理 ,充分发挥“激活潜能再生细胞疗法”的作用 ,为创面提供良好的生理再生环境 ,实施创面修复与瘢痕防治同步进行的综合治疗措施。结果 :1 83只手 (包括深Ⅲ度 )烧伤创面全部非植皮自愈 ,无伤残功能障碍。结论 :皮肤再生医疗技术治疗手部深度烧伤创面能实现自然愈合 ,防治瘢痕疗效良好。

objective: To sum up the experience in treating hand deep burn wounds in the early stage and prevention of scar formation. Method: Hand burn wounds were treated at the early stage with skin regeneration medical technique. Typical deep 3 rd degree wounds were treated with 'necrotic layer thinning technique' at the early stage in order to make full play of the effect of 'potential regenerative cell activation therapy' and to create a good physiological regeneration environment for the wounds. Comprehensive treating measures including wound repair and scar formation preventing measures were adopted synchronously. Result: Wounds in 183 hands (including some deep 3 rd degree burn wounds) were healed spontaneously without skin grafting. No disablement and functional disturbance occurred. Conclusion: Skin regeneration medical technique for treating deep burn wounds in hands can achieve spontaneous healing and can prevent the formation of scar. The efficacy is very good.