烧伤后畸形患者2132例的整复与社会问题分析

Plastic and Reconstruction of Postburn Deformity and Its Social Problems ( Analysis of 2132 cases )

通过2132例临床资料分析,对近10年来烧伤后畸形患者整复治疗的进展作了总结。轴型皮瓣、吻合血管的游离皮瓣的应用,皮肤软组织扩张术的开展,持续性牵引加植皮法用于严重的四肢关节挛缩畸形等己使烧伤后畸形的治疗效果有了长足的进步,优良率达88.23％;11.26％效果良好或已能自理生活,仅0.51％的患者效果较差或尚不能自理生活。作者对我国烧伤后畸形的大量患者尚不能获得及时整复的社会问题,提出一些建议,期望得到社会的重视与支持。

We have studied 2132 cases of postburn deformity treated in the past 30 years. The highest incidence was in the patients of 21-40 year old group, the next was in children and teenagers. The male to female ratio was slightly over 2:l The commonest cause was fire, and the next were hot liquid, electricity, and chemicals etc, Half of the patients received treatement in time; one fourth of them were trea- ted 3 years later, and the treatment of 12.8% were delayed for more than 10 years. The method used was mainly skin grafting. However, the use of local flap, free flap, and tissue expanders enhanced the therapeutic effectiveness. In joint contrac-ture deformities, bone traction and skin grafting were performed with a good result. The rate of marked improvement was 88.23%.The crippled postburn patients bring about a lot of social problems, we must pay close attention to it. 1) Importance of prevention of burn injury should be made know to the public. 2) In the treatment prevention of deformity and early diriga-tion should be taken into consideration. 3) The disabled should have proper medical care. 4) More physical and professional therapy centers should be established. 5) Social service is urgently needed for these disabled persons. 6) More concern should be given by welfare and other concerned department. Therefor, the problems should be solved not only by plastic surgeons, but also by the whole society.