扩张术治疗瘢痕性秃发的手术设计  

The operation designs of repairing scar alopecia with the skin soft tissue expansion

作　　者：王亚强[1] 刁建升[2] 马显杰[2] 郭建[1] 

机构地区：[1]宝鸡市人民医院整形美容科,陕西宝鸡721000 [2]第四军医大学西京医院全军整形外科研究所,陕西西安710032

出　　处：《中国美容医学》2009年第4期451-453,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨头部扩张器修复瘢痕性秃发手术设计的重要性。方法:采用AutoCAD软件测量秃发面积,用一个或多个扩张器进行头皮扩张,利用扩张皮瓣修复瘢痕性秃发。结果:修复瘢痕性秃发18例,扩张皮瓣全部成活,头皮瓣毛发分布均匀,随访半年～1年,效果满意。结论:该方法的手术设计,是手术成败的关键,扩张术修复瘢痕性秃发并发症发生率低,毛发分布均匀,是目前治疗此类疾病的首选方法,值得推广。Objective To explore the importance of preoperative designs for repairing scar alopecia with the skin soft tissue expansion. Methods We used the computer-aided design software package AutoCAD to measure the bald areas. According to the quantitative clinical analysis, one or more tissue expanders were inplanted into the scalp to achieve a skin soft tissue expansion. Then properly-designed skin flap was taken and transferred to repair scar alopecia. Results All the 18 patients had their scar alopecia repaired and all the expanded skin flaps survived. The follow-up for 6-12 months revealed that the hair grew well and the scars were hidden with a satisfactory appearance. Conclusions The preoperative design skill of this method is the key point to the operation success. With a lower incidence rate of complications and well-distributed hair, repairing scar alopecia with the skin soft tissue expansion is an ideal method.

关 键 词：头皮 扩张器 瘢痕性秃发 手术设计 AutoCAD 组织扩张术 

分 类 号：R622[医药卫生—整形外科]