医学临床研究
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医学临床研究  2019, Vol. 36 Issue (3): 439-441    DOI: 10.3969/j.issn.1671-7171.2019.03.008
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封闭式负压吸引联合显微手术对手烧伤后瘢痕挛缩患者手部功能及挛缩组织TIMP-1表达的影响
赵娟, 黄建, 周敏, 吴直惠
四川大学华西医院美容整形烧伤外科,四川 成都 610041
Effect of Closed Negative Pressure Suction Combined with Microsurgery on Hand Function and TIMP-1 Expression in Patients with Scar Contracture after Hand Burn
ZHAO Juan, HUANG Jian-qiong, ZHOU Min,et al
Department of Aesthetic and Plastic Burn Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan
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摘要 【目的】探讨封闭式负压吸引(VSD)联合显微手术对手烧伤后瘢痕挛缩患者手部功能及挛缩组织TIMP-1表达的影响。【方法】选取2016年11月-2017年11月本院收治的手烧伤后瘢痕挛缩患者122例,随机分为两组,对照组采用常规手术治疗,观察组采用VSD联合显微手术治疗。比较两组患者手指关节总活动度(TAM值)、日常生活能力评分(ADL评分)和瘢痕挛缩组织中基质金属蛋白酶抑制剂-1(TIMP-1)原位表达情况。【结果】观察组TAM值、ADL评分高于对照组;挛缩组织TIMP-1表达低于对照组,差异均有统计学意义(P<0.05)。【结论】封闭式负压吸引联合显微手术治疗手烧伤后瘢痕挛缩疗效满意,值得临床推广应用。
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赵娟
黄建
周敏
吴直惠
关键词 烧伤/外科学显微外科手术康复    
Abstract:【Objective】To investigate the effect of closed negative pressure suction (VSD) combined with microsurgery on hand function and TIMP-1 level of contracture tissue in patients with hand burn scar contracture. 【Methods】A total of 122 cases of hand burn scar contracture from November 2016 to November 2017 were randomly divided into two groups. The control group was treated with routine surgery, while the observation group was treated with VSD combined with microsurgery. The total activity of finger joint (TAM) value, ability of daily living (ADL) score and the in-situ expression of matrix metalloproteinase inhibitor-1 (TIMP-1) in the scar contracture tissue were compared between the two groups. 【Results】The TAM value and ADL score of the observation group were higher than those of the control group (P<0.05). The expression of TIMP-1 level in the observation group was lower than that of the control group. The difference was statistically significant (P<0.05). 【Conclusion】Closed negative pressure suction combined with microsurgery is effective in the treatment of hand burn scar contracture, which is worthy of clinical application.
Key wordsBurns/SU    Microsurgery    Rehabilitation
收稿日期: 2018-12-13     
PACS:  R  
通讯作者: E-mail:LX2983@163.com   
引用本文:   
赵娟, 黄建, 周敏, 吴直惠. 封闭式负压吸引联合显微手术对手烧伤后瘢痕挛缩患者手部功能及挛缩组织TIMP-1表达的影响[J]. 医学临床研究, 2019, 36(3): 439-441.
ZHAO Juan, HUANG Jian-qiong, ZHOU Min,et al. Effect of Closed Negative Pressure Suction Combined with Microsurgery on Hand Function and TIMP-1 Expression in Patients with Scar Contracture after Hand Burn. JOURNAL OF CLINICAL RESEARCH, 2019, 36(3): 439-441.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.03.008     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I3/439
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