肿胀法头皮软组织扩张术修复颅骨外露和瘢痕性秃发  

TUMESCENT EXPANDATION IN REPAIRING EXPOSED CRANIAL BONE AND CICATRISATA ALOPECIA

作　　者：蔡景龙[1] 李东[1] 殷丽 王新洁[2] 王时芳 

机构地区：[1]山东医科大学附属医院烧伤整形科 [2]苍山县人民医院

出　　处：《山东医科大学学报》1999年第3期227-228,共2页Acta Academiae Medicinae Shandong

摘　　要：用肿胀法头皮软组织扩张术修复电烧伤颅骨外露 ３ 例，烧伤后瘢痕性秃发 ８ 例，颅骨外露或头发缺失面积为 ５０～２５０ｃｍ ２，平均７６ｃｍ ２。成人 ４ 例，儿童７ 例。成人全部采用肿胀法局部麻醉，儿童采用基础全麻加肿胀法局部麻醉。肿胀液用量 １００～５００ｍ ｌ，利多卡因浓度为 ００５％ ～０．５％ ，肾上腺素浓度为１／（１０ 万）。采用常规扩张法，结果表明，术中出血明显减少，手术时间明显缩短，术后切口均一期愈合，均未输血。随访 ２～２６ 个月，刀口愈合好，仅遗留线状瘢痕，皮瓣毛发生长好，提示肿胀法头皮软组织扩张术是修复颅骨外露和瘢痕性秃发的实用、有效的新方法。Tumescent expandation was used in 3 cases of expose of cranial bone caused by electrical burn and in 8 cases of cicatrisata alopecia by burns. The area of expose of cranial bone or hair defect was 50cm 2 to 250cm 2, average 76cm 2. 4 cases were adult, 7 cases were children. Tumescent local anesthesia was used in all adults. The same method was used in children under general anesthesia. Volume of swelling solution was 100ml to 500ml, concentration of lidocaine was 0.05% to 0.5%, that of adrenaline was 1/100 000. Expandation of scalp soft tissue was done as usual. Before the operation swelling solution was injected. It showed less bleeding without blood transfusion, one stage incision healing, and following up 2 to 26 months with good growth of hair. Tumescent technique scalp soft tissue expandation was the practical and effective choice of repairing exposed cranial bone and scalp cicatrisata alopecia.

关 键 词：软组织扩张术 头皮烧伤 瘢痕性 秃发 颅骨外露 

分 类 号：R644.05[医药卫生—外科学] R622.1[医药卫生—临床医学]