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《Acta Universitatis Medicinalis Anhui》 2006-01
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Influence of early excision and exercise on the recovery function of deep burned hand in extensively deep burns

Hu Delin,Fang Linsen, Yu Youxin, et al (Dept of Burns, The Frist Affiliated Hospital of Anhui Medical University,Hefei 230022)  
Objective To explore an effective method that recovers function of hand deep burned in extensively deep burns. Methods Patients were divided into two groups according to the processing technique of deep wound of hand burned: early excision therapy group (treatment group) and not early excision therapy group(control group). Patients were operated on and began function exercise as early as possible for deep burned hands in treatment group,and didn′t receive early operation in control group. The rate of the finger amputation, Scar Index of hand and mean angle of motion of finger joint at six months postburn were examined. Results ① Dry necrosis of finger didn't occur in patients of treatment group. The rate of the finger amputation was 33.3% in patients of control group. ② Scar Index was 7.24±1.72 in treatment group, which was significantly lower than that of control group(P0.05). ③TAM was 204°±46°in treatment group, which was significantly higher than that of control group(P0.05). Conclusion Excision and exercise as early as possible is an effective method to recover function of deep burned hand in extensively deep burns.
【CateGory Index】: R644
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