小容量皮肤扩张术在面部瘢痕美容修复中的应用  

Cosmetic repair for face scar deformity by small-capacity tissue expansion

作　　者：张华彬[1] 陈骥扬 孙东原 孟晖[1] 李双庆[1] 

机构地区：[1]深圳市蛇口人民医院烧伤整形外科,深圳518067

出　　处：《中华医学美学美容杂志》2006年第4期218-220,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨小容量皮肤扩张用于面部瘢痕美容修复的临床应用价值。方法 先用10～100ml容量的皮肤扩张器置入瘢痕旁的皮下，注水壶内置或外置，定期注水扩张，扩张期4～8周，Ⅱ期手术取出扩张器，切除瘢痕，利用扩张皮瓣修复缺损。结果 临床应用32例，发生扩张器感染和扩张器外露各1例，但经及时处理后，2例患者最终未影响手术效果。随访半年至3年，皮瓣平整，外观色泽、质地均佳，切口瘢痕不明显，疗效满意。结论 小容量皮肤扩张适用于面部瘢痕畸形的美容修复，具有良好的美容效果。Objective To investigate the clinical value of face scar deformity by small-capacity tissue expansion. Methods A small-capacity expander of 10-100 ml was implanted into the hypoderm, and then regular affusion was made with injection pot outside or inside. After expanding for four weeks to eight weeks, the expander was removed and the removing wound surface of scar was repaired with flap. Results After clinical application in 32 cases, there were complications such as in fection and expander＇s exposure occurred in two cases, but the final result was good after suitable treatment. All cases were satisfied with unclear scar after 6 to 36 months＇ follow-up. Conclusions Positivecosmetic effect can be received with small-capacity tissue expansion.

关 键 词：皮肤扩张术 瘢痕 面部 

分 类 号：R782[医药卫生—口腔医学]