皮肤软组织扩张术联合毛囊单位提取技术治疗烧伤后瘢痕性秃发  

Application of soft tissue expansion combined with follicular unit extraction for burn cicatricial bald

作　　者：陈海华[1] 张菊芳[1] 李金晟[1] 贾明[1] 郭晓波[1] 王宇燕[1] 沈海燕[1] 

机构地区：[1]杭州市第一人民医院整形外科,310006

出　　处：《中华整形外科杂志》2015年第1期36-39,共4页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨并分析皮肤软组织扩张术联合毛囊单位提取技术治疗烧伤后瘢痕性秃发的效果.方法 2007年3月至2013年6月共收治48例患者,秃发面积均大于25 cm2.一期手术行扩张器置入,注入额定容量的200％～ 300％;二期手术在注水完成后8周,行局部皮瓣转移修复术;三期手术在皮瓣修复后1年,行瘢痕区单体式毛发移植.结果 经扩张器联合毛发移植后,48例患者瘢痕区毛发生长自然,随访5年,效果满意.三期手术后的毛发形态满意度的VAS评分为（8.2±2.1）分.结论 皮肤软组织扩张术联合毛囊单位提取技术对头部烧伤后瘢痕性秃发修复效果确切.Objective To investigate the therapeutic effect of soft tissue expansion combined with follicular unit extraction（FUE） for burn cicatricial bald.Methods 48 patients with burn cicatricial bald （〉 25 cm2） were treated in three stages.The expanders were implanted on the first stage.After expansion for 8 weeks,the expanders were taken out and local flaps were transferred.One year later,follicular unit extraction（FUE） was applied on the bald area.Results 48 cases were followed up for 5 years with satisfactory cosmetic results.The VAS assessment of satisfaction on hair appearance after three-staged surgery was 8.2 ± 2.1.Conclusions Soft tissue expansion combined with FUE has a reliable effect for burn cicatricial bald.

关 键 词：软组织扩张术 毛囊 烧伤 秃发 

分 类 号：R622[医药卫生—整形外科]