目的:探讨应用显微外科修复电接触烧伤的方法和特点。方法:对30例电接触烧伤所致组织缺损分别采取带血管蒂岛状皮瓣、游离皮瓣、跨区供血反流轴型皮瓣等方法进行修复。结果:30例患者34块皮瓣中,32块全部成活,2块皮瓣远端少部分坏死,经间断换药愈合。结论:显微外科是修复电接触烧伤的重要手段,手术方式的选择、术区清创、血管情况的判定是手术成功的关键。 Objective: To explore the methods and characteristics of using microsurgery to repair electrical contact burn. Methods: Tissue defects caused by electrical contact burn were repaired by means of island flap pedicled with blood vessels, free flaps and cross-sectional axial flaps. Results: Thirty-two of 30 patients survived, and two of the flaps were partially necrotic at the distal end and were healed by intermittent dressing change. Conclusion: Microsurgery is an important means to repair electrical contact burn. The choice of surgical methods, surgical debridement and blood vessel judgment are the keys to successful operation.