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目的探讨小儿手烧伤的较佳治疗方法。方法对468例患儿烧伤手清创,深度烧伤行早期切、削痂,整张中厚皮片或全厚皮片移植覆盖创面。术后观察疗效并随访3个月～2年。结果本组468例532只手,除9例10只手因各种原因延误治疗造成爪形手外,其余全部治愈,且功能良好。结论提示早期削痂、植皮治疗手背深度烧伤,术后功能及外观恢复较好,是修复小儿手背深度烧伤创面的较佳选择。
Objective To investigate the better treatment of pediatric hand burn. Methods A total of 468 children underwent hand debridement, deep burn, early incision, tangential excision, full thickness skin graft or full skin graft to cover the wound. Postoperative efficacy and follow-up of 3 months to 2 years. Results The group of 468 cases of 532 hands, except for 9 cases of 10 hands due to various causes delayed treatment of claw-shaped hand, the rest were all cured and functional well. Conclusions Early removal of scab and skin grafting for the treatment of deep burn of the back of the hand and good postoperative function and appearance recovery are the better choices for repairing the deep burn wounds in the back of children.