目的探讨更有利于手部功能与美观的遭际削痂及植皮方法。方法病情平稳后早期薄层削痂,大张中厚皮部开洞移植,严密缝合。结果术后批片均成活,皮肤外观平整,弹性好,无瘢痕,功能良好。结论深度手烧伤后早期采取及时正确的薄层削痂及大张部开洞中厚皮片移植手术,可以获得满意的外形和功能。 Objective To discuss the methods of cut-off and skin grafting, which are more conducive to the function and appearance of the hand. Methods The disease was stable early cut thin layer of scab, large Zhang thick skin graft hole, close suture. Results After the tablets were survived, the skin looks flat, good elasticity, no scars, good function. Conclusion In the early stage of deep hand burns, timely and correct lamellar excision and large-thickness open-hole skin graft surgery can obtain satisfactory appearance and function.