分期手术结合中药外敷治疗电烧伤头部皮肤缺损并颅骨外露效果分析  

The effects analysis of treating scalp defect with skull exposure after electric burn by staging operation combined with Chinese herbal

作　　者：王华柱[1] 沈国军[1] 赵建勇[1] 张植生[1] 

机构地区：[1]河北省沧州中西医结合医院骨五科,河北沧州061000

出　　处：《中国美容医学》2015年第22期5-8,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:总结分期手术结合中药外敷治疗电烧伤头部皮肤缺损颅骨外露的方法及临床疗效。方法:2008年12月-2013年12月,笔者对6例电烧伤头部皮肤缺损(面积4cm×7cm^6cm×12cm)并颅骨外露(面积3cm×4cm^5cm×10cm)患者,手术清创后涂抹自制的"当归逐瘀生肌膏"。若颅骨外板坏死,则行颅骨外板磨除或钻孔出血后继续中药外敷直至创面愈合。6个月后行皮肤软组织扩张术,之后予推进皮瓣修复缺损。结果:术后随访3~6个月,所有患者皮瓣完全成活,毛发生长良好。均未发生颅内感染、骨髓炎、大出血、皮瓣坏死等并发症。结论:分期手术结合中药外敷治疗电烧伤头部皮肤缺损颅骨外露,是一种安全有效、简单易行且创面修复及术后头部外观良好方法。Objective To summarize the methods and therapy of staging operation combined with Chinese herbal for scalp defect with skull exposure after electric burn. Methods From December 2008 to December 2013,we treated 6 cases with scalp defect（4cm×7cm to 6cm × 12cm）and skull exposure（3cm ×4cm to 5cm× 10cm）after electric burn by staging surgery,then smeared Chinese herbal, Danggui Zhuyu Shengjigao,on the surface of a wound.We would resect the skull plate or drill on the skull plate if the skull plate necrosis, and then continue to apply the Chinese herbal until the wounds healed.Skin soft tissue expansion was performed in 6 months after wounds healed.The skin expanders were took out and skin flaps were performed in 2 to 5 months after skin soft tissue expansion. Results Postoperative follow-up ranged from 3 to 6 months.The skin flaps survived completely and the hair in the repaired area grew well.There were no complications such as intracranial infection,osteomyelitis, massive haemorrhage,or skin flap necrosis. Conclusion It is a simple and practicable method that scalp defect with skull exposure after electric burn were treated with staging surgery combined with Chinese herbal.It is not only can repair wound but also can restore appearance of the head.

关 键 词：头皮缺损 颅骨外露 电烧伤 皮肤软组织扩张术 皮瓣 中草药 

分 类 号：R622[医药卫生—整形外科]