儿童烫伤后歪扭手的整复

Reconstruction of irregular malformative hands caused by cicatrical contracture after being scalded in children

目的探讨儿童烫伤后歪扭手的整复处理要点。方法对10例儿童因热液烫伤后瘢痕增生并挛缩而形成的歪扭手采取分区处理、分期手术,并在术后采取以确实可靠的弹性压迫为主的综合康复治疗使非手术部位的增生瘢痕变平和脱位关节复位。结果10例歪扭手外形和功能基本恢复正常,但均有片状色素沉着或脱失而影响外观。结论分区处理、分期手术,并在术后采取以确实可靠的弹性压迫为主的康复治疗是整复儿童烫伤后歪扭手的关键。

Objective To explore the gist of reconstruction of irregular malformative hands caused by cicatrical contraeture after being scalded in children. Methods A retrospective study was made on 10 cases with irregular malformative hands caused by cicatrical contracture after being burned in children. The irregular malformation was repaired according to regions and stages. Comprehensive rehabilitation measures, mainly by reliable pressure treatment,were adopted to make the hyperplastie scar smooth, and to reduce the dislocated joints after operation. Results After a follow-up of 6 to 24 months, the outward appearance and function of the deformed hands in the 10 cases were recovered after treatment, except pigmentation or decoloration which had an adverse effect on appearance. Conclusion The key to repairing irregular malformative hands after being scalded is treatment according to regions and stages, and comprehensive rehabilitation including reliable pressure treatment.