皮肤软组织扩张术在头皮缺损伴颅骨外露修复中的应用  

Application of skin and soft tissue expander in reconstruction of large scalp defect with skull exposure

作　　者：董祥林[1] 秦涛[1] 乔星[1] 温浩[1] 马少林[1] 

机构地区：[1]新疆医科大学第一附属医院烧伤整形科,乌鲁木齐830054

出　　处：《中华医学美学美容杂志》2013年第3期174-176,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨外伤致大面积头皮缺损后的肉芽组织创面伴颅骨外露的修复方法。方法对外伤后头皮缺损肉芽组织创面伴颅骨外露8例患者，在形成新鲜肉芽组织创面后于正常头皮帽状腱膜下埋置皮肤软组织扩张器12只，术中以及注水扩张过程中严格无菌操作，适度扩张，保持扩张部位丰富的血液循环。扩张满意后取出皮肤软组织扩张器行扩张后皮瓣修复创面。结果8例患者均完成头皮缺损创面的修复，扩张器埋置术后以及注水扩张过程中未见感染。结论皮肤软组织扩张术可以修复外伤头皮缺损后肉芽组织创面伴颅骨外露。Objective To investigate reconstructive repair methods of a large scalp defect with the granulation tissue wounds and skull exposure caused by the trauma. Methods Skin and soft tissue expansion technique was used to repair eight patients with a large scalp defect with the granulation tis- sue wounds and skull exposure caused by the trauma. The skin and soft tissue expanders were embed- ded under normal epicranial aponeurosis after the formation of fresh granulation tissue wound. Strict aseptic technique as well as water injection was done in the expansion process and moderate expansion to maintain rich blood circulation in the expansive parts. Results 12 skin and soft tissue expanders were implanted in 8 patients and the scalp wounds were completely repaired. No infection was detected after surgery and injection expansion process. Conclusions The skin and soft tissue expansion can be used to reconstruct post-traumatic scalp defect with granulation tissue wound and skull exposure.

关 键 词：皮肤软组织扩张术 头皮缺损 肉芽组织创面 颅骨外露 

分 类 号：R622[医药卫生—整形外科]