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手瘢痕挛缩畸形整形疗效探讨 预览

A study on the effect of the treatment of the deformity of the contracture of the hand
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摘要 目的探讨手瘢痕挛缩畸形整形的疗效。方法随机选取本院2017年5月-2018年5月收治的手瘢痕挛缩畸形患者53例作为样本,所有患者均行整形手术治疗,观察患者术后的ROM评分、SF-36评分、ADL评分3项指标、治疗有效率、治疗满意度。结果 53例患者治疗前ROM(53.48±2.58)分、SF-36(63.58±3.10)分、ADL(62.32±1.41)分。53例患者治疗后ROM(84.52±3.00)分、SF-36(91.74±3.47)分、ADL(92.88±2.78)分。两组数据对比,差异显著(P<0.05)。53例患者显效率58.49%、有效率35.85%、无效率5.66%、总有效率94.34%、手部功能满意度92.45%、外观满意度90.57%。结论行外科整形手术治疗手瘢痕挛缩畸形,能够有效改善手部功能,提高患者的日常生活活动能力及生活质量,使患者的对手部外观、功能的满意度得以增强,改善疾病的治疗效果。 Objective To investigate the effect of plastic surgery of hand scar contracture deformity. Methods 53 patients with hand scar contracture deformity treated in our hospital from May 2017 to May 2018 were randomly selected as samples. All patients were treated with plastic surgery. ROM score, SF-36 score and ADL score were observed. Effective rate of treatment, treatment satisfaction. Results ROM(53.48 ±2.58) and SF-36(63.58 ±3.10), ADL(62.32 ±1.41) were found in 53 patients before treatment.ROM(84) in 53 patients after treatment. 52(3.00), SF-36(91.74, 3.47), ADL(92.88, 2.78). In 53 patients, the effective rate was58.49%, the effective rate was 35.85%, the efficiency was 5.66%, the total effective rate was 94.34%, the hand function satisfaction was 92.45%, and the appearance satisfaction was 90.57%. Conclusion The surgical plastic surgery can effectively improve the hand function, improve the living ability and quality of life of the patient, and make the appearance and function of the opponent part of the patient. The satisfaction of the disease was enhanced and the therapeutic effect of the disease was improved.
作者 黄晓峰 孙明亮 潘实 HUANG Xiao-feng;SUN Ming-liang;PAN Shi(Department of Plastic and Cosmetic Surgery, First Affiliated Hospital of Xiamen University, Fujian Province, 361003, China)
出处 《中国医疗美容》 2019年第5期43-46,共4页 China medical cosmetology
关键词 手瘢痕挛缩畸形 整形手术 手部功能 美观性 hand scar contracture deformity plastic surgery hand function aestheticism
作者简介 黄晓峰(1970-),男,汉族,本科,主治医师,研究方向:烧伤整形外科.
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