V-Y-S旋转皮瓣修复头皮缺损  

Repair of scalp defect using V-Y-S rotation flap

作　　者：张功林[1] 章鸣[1] 荆浩[2] 郭翱[1] 凌爱军[1] 蔡国荣[1] 

机构地区：[1]温岭市骨伤科医院,浙江温岭317500 [2]无锡市第三人民医院骨科

出　　处：《中国骨伤》2008年第5期375-376,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:报告V-Y-S旋转皮瓣修复头皮缺损的临床结果。方法:应用V-Y-S旋转皮瓣技术修复5例头皮缺损,其中,男4例,女1例;年龄26～52岁,平均32岁。缺损范围:3cm×3.5cm～4cm×5cm。1例用单侧皮瓣修复,4例用双侧皮瓣修复。结果:所有的缺损均修复成功,皮瓣全部成活,术后随访10～42个月(平均28个月),修复后的外形满意,皮瓣上头发生长正常,局部没有瘢痕形成,没有出现与切口有关的并发症。结论:用V-Y-S旋转皮瓣修复头皮缺损,不需行游离植皮,操作简单,手术时间短,成功率高。Objective ：To report the clinical results of scalp defect using V-Y-S rotation flap. Methods：From March 2003 to October 2005,5 cases scalp defect （4 male, 1 female）were reconstructed with the technique. The age ranged from 26 to 52 years（mean 32 years）. The scalp defect ranged from 3 cm×3.5 cm to 4 cm×5 cm. Four cases were reconstructed with bilateral flap and one case was reconstructed with unilateral flaps. Results：All patients were followed-up from 10 to 42 months （mean, 28 months）. All the flaps survived completely and showed good hair growth and had satisfactory clinical results, conclusion： Repair of scalp defect using V-Y-S rotation flap technique is simple with no need for a skin graft and can be performed quickly, there is minimal morbidity and the outcome is highly successful.

关 键 词：头皮 修补手术 外科 创伤和损伤 皮肤移植 

分 类 号：R622.1[医药卫生—整形外科] R457[医药卫生—外科学]