皮肤软组织扩张术在烧伤外科的应用  

APPLICATION OF SKIN AND SOFT TISSUE EXPANSION IN TREATMENT OF BURN INJURY

作　　者：王乃佐[1] 沈祖尧[1] 马春旭[1] 宓惠茹[1] 沈余明[1] 桑慧华 陈辉[1] 

机构地区：[1]北京积水潭医院烧伤科,北京100035

出　　处：《中国修复重建外科杂志》2000年第5期286-286,共1页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　总结采用皮肤软组织扩张术的方法修复大面积严重烧伤后畸形及颅骨深度电烧伤新鲜创面的临床效果。方法　 1988年以来 ,应用皮肤软组织扩张术 83例 16 0个扩张器 ,对大面积严重烧伤后畸形、全鼻缺损患者 ,于前额烧伤后植皮皮下及额肌下行组织扩张术 ,设计带血管蒂的软组织扩张后的烧伤植皮岛状皮瓣 ,切取肋软骨为支架 ,完成全鼻再造。对颅骨深度电烧伤 ,应用软组织扩张术将新鲜颅骨深度烧伤创面修复与后期烧伤后头皮瘢痕秃发整形一次完成。在皮肤扩张器囊外腔隙注入麻醉药及抗生素 ,以减少疼痛及感染。结果　全部病例均获得满意效果。皮肤扩张器囊外腔隙麻醉扩张法及囊外腔隙注入抗生素法 ,减轻了注液扩张过程的疼痛及有效地预防和治疗囊外感染。结论　应用皮肤软组织扩张术修复大面积严重烧伤后畸形及新鲜深度烧伤创面 ,方法安全、可靠 ,符合临床需要。Objective To evaluate the application of skin and soft tissue expansion in the treatment of deformity due to extensive severe burn injury and repair of severe deep electrical burned scalp and skull with fresh wound. Methods From 1988, 83 cases of application of skin and soft tissue expansion were reported. In those patients with deformity due to severe burn of large area and with whole nasal defect, soft tissue expander was used under the forehead skin graft and venter frontalis, followed by reconstruction of nose with the expanded vascularized skin flap and carved cartilago costalis as nasal frame. In patients of severe deep electrical burned scalp and skull with fresh wound, skin and soft tissue expansion were used to repair the wound simultaneously with scalp burn alopecia, anesthetics and antibiotics injected into the extracapsular space of the expander in case of pain and infection. Results All of the cases were successfully treated with little pain and minimized infection. Conclusion Skin and soft tissue expansion is a safe and reliable measure in the treatment of deformity due to extensive severe burn injury and repair of severe deep electrical burned scalp and skull with fresh wound.

关 键 词：皮肤软组织扩张术 烧伤 皮瓣 

分 类 号：R644[医药卫生—外科学]