Objective: To investigate the effects of ultrathin abdomen flap in repairing deep electric burn wounds in finger of pediatric patients. Methods: A total of 14 pediatric patients with simple electric burns in finger were admitted to our unit from March 2013 to October 2017. Six patients had electric burns in one finger, 5 patients had electric burns in two fingers, and 3 patients had electric burns in three fingers. The size of wounds in single finger ranged from 2.0 cm×1.0 cm to 3.5 cm×2.0 cm. After complete preoperative examination, wounds debridement and ultrathin abdomen flap repair operation were performed on 3 to 6 days post injury. Six pediatric patients were treated with abdominal random flap, 4 patients were treated with inferior epigastric artery paraumbilical perforator bilobed flap, and the other 4 patients were treated with superficial circumflex iliac artery bilobed flap. The size of flaps ranged from 4.0 cm×2.0 cm to 8.0 cm×4.0 cm. The donor sites were sutured directly. Results: The flaps of 14 pediatric patients survived well after operation, and no flap showed blood supplying disorder. During follow-up of 3 to 24 months, the appearance and function of fingers were good, and the donor sites recovered well, with no cicatrix contracture deformity. Conclusions: The ultrathin abdomen flap is one of the good choices for repairing deep electric burn wounds in finger of pediatric patients.
目的： 探讨腹部超薄皮瓣在小儿手指深度电烧伤创面修复中的效果。 方法： 2013年3月—2017年10月，笔者单位收治14例单纯手指深度电烧伤患儿，其中单指电烧伤6例、双指电烧伤5例、3指电烧伤3例，单指创面面积2.0 cm×1.0 cm～3.5 cm×2.0 cm。完善术前检查后，于伤后3～6 d行创面清创及腹部超薄皮瓣修复术，其中6例患儿采用腹部随意型皮瓣，4例患儿采用腹壁下动脉脐旁穿支双叶皮瓣，其余4例患儿采用旋髂浅动脉双叶皮瓣，皮瓣面积为4.0 cm×2.0 cm～8.0 cm×4.0 cm，供瓣区直接拉拢缝合。 结果： 本组患儿术后所有皮瓣均存活良好，无一例出现血运障碍。随访3～24个月，手指外观良好，功能正常，供瓣区恢复良好，未出现瘢痕挛缩畸形。 结论： 腹部超薄皮瓣是修复小儿手指深度电烧伤创面的较佳选择之一。.
Keywords: Burns, electric; Child; Fingers; Surgical flaps; Ultrathin flap.