Halo-vest头环在全头皮撕脱伤再植术中的应用  

Application of Halo-vest head ring in replantation of total scalp avulsion

作　　者：林涧[1] 吴立志[2] 郭宇华[2] 张天浩[1] 顾仕林[1] 王成[1] 陈忠义[2] 陈海啸[2] 

机构地区：[1]上海交通大学医学院附属新华医院(崇明)骨科、显微外科,202150 [2]浙江省台州医院(路桥院区)手外科

出　　处：《中华整形外科杂志》2015年第6期403-406,共4页Chinese Journal of Plastic Surgery

基　　金：上海市科研计划资助项目（14411973200）

摘　　要：目的 探讨采用Halo-vest头环进行全头皮撕脱伤再植治疗的临床疗效.方法 2006年12月至2015年2月,我们采取吻合动静脉血管＋ Halo-vest头环治疗11例全头皮撕脱伤.结果 本组1例患者因头皮撕挫严重,再植术后坏死,给予游离植皮和换药后创面愈合,无毛发生长.其余10例患者再植全部成活,经过3 -96个月随访,创面完全愈合,头皮、毛发生长良好,获得满意的外观.结论 利用Halo-vest头环进行全头皮撕脱伤再植处理,能够有效提高成活率和成活面积.Objective To investigate the clinical effect of Halo-vest head ring in the treatment of replantation of total scalp avulsion.Methods We treated 11 cases of total scalp avulsion with the anastomosis of arteriovenous vessels and Halo-vest head ring from December 2006 to February 2015.Results One patient＇ s replanted scalp got necrosis because of serious contusion which was healed without hair growth after free skin graft and dressing.All the scalp flaps in the other 10 patients survived.After 3-96 months follow-up, the wound completely healed, the scalp and hair grew well with satisfactory appearance.Conclusions The use of Halo-vest head ring for replantation of total scalp avulsion can effectively improve the survival rate and survival area.

关 键 词：全头皮撕脱 吻合血管 回植 Halo-vest头环 显微外科 

分 类 号：R651.1[医药卫生—外科学]