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頁籤選單縮合
| 題 名 | 手部燒傷後嚴重畸形重建 |
|---|---|
| 作 者 | 李治華; 林秋華; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 19:3 1986.07[民75.07] |
| 頁 次 | 頁268-273 |
| 分類號 | 416.615 |
| 關鍵詞 | 手部燒傷; 後嚴重畸形; 重建; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 燒傷後造成畸形而無用的手對個人及社會都是負擔。早期正確的傷口處理,支架的使用、焦痂切除及植皮和物理治療都很重要。畸形後重建手術是希望能恢復手部功能和外觀,包括皮膚組織的覆蓋和關節的重建。本院成功的使用腹部鼠蹊皮瓣及前臂島狀皮瓣來重建4隻燒傷後畸形的手。以Swanson方法來測定手功能恢復情況;功能障礙由術前平均93%降到術後一年時35%。謹將臨床病例、手術方法及結果提出報告。 |
| 英文摘要 | A deformed, useless hand resulting from deep burn is a tragedy; The hand 's early return of function should be a top priority. Essential procedures include good wound care, adequate splinting, early tangential excision with skin grafting and aggressive physiotherapy. The goals in the treatment of a deformed hand should be to restore normal function and appearance as much as possible. Two distal groin flaps and two distalbased radial forearm flaps have been used successfully on four occasions to restore severely-deformed burned hands. All four hands had remarkable improvement of function, averaging from 93% functional impairment down to 35% one year after operation. Clinical history, surgical management and results are discussed. |
本系統中英文摘要資訊取自各篇刊載內容。