皮肤磨削术结合薄皮片修复外伤性色素脱失和浅表瘢痕  

Repair of traumatic epidermal depigmentation and superficial scar using dermabrasion combined with autologous skin slice

作　　者：肖调立[1] 徐毅[1] 何玮[1] 吴倩[1] 

机构地区：[1]湖南省第二人民医院整形美容科.湖南中医药大学临床医学院,湖南长沙410007

出　　处：《中国美容医学》2016年第6期16-18,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的：探讨磨削术结合薄皮片移植修复外伤性色素脱失和浅表瘢痕的治疗效果。方法：手术在局部浸润麻醉或全身麻醉下进行,采用普通牙科打磨机磨削,转速为15 000~30 000r/m,磨削深度以创面出现均匀出血点为度,薄皮片移植后加压包扎5~7d,换药拆线后随访1~9年。结果：101例外伤性色素脱失（80例）和浅表瘢痕（21例）患者进行了磨削＋薄皮片移植术,所移植皮片100%成活,随访1~9年,色素脱失患者术后皮肤与正常皮肤色泽基本一致,而浅表瘢痕患者皮肤外观明显改善。结论：磨削术结合薄皮片移植修复外伤性色素脱失和浅表瘢痕可有效改善病变皮肤的外观,远期疗效满意。Objective To evaluate the effect of dermabrasion combined with autologous skin slice on the repair of traumatic depigmentation and superficial scar.Methods Operation was carried out under local infiltration anesthesia or general anesthesia. Diamond-driven dental drill was used at a speed of 15 000-30 000r/m. It was grinded until appearance of even bleeding points at the wound. The wounds were then covered with autologous skin slice under pressure for 5-7 days, and the patients were followed up for 1-9 years.Results The surgical procedure of dermabrasion plus autologous skin slice was applied to 101 patients, in which 80 cases are traumatic epidermal depigmentation and 21 cases are superficial scar. 100%skin graft survived the surgery during 1-9 years＇ follow-up. The skin color of those with traumatic epidermal depigmentation was almost the same as their normal skins, whereas skin appearance of those with superifcial scar was signiifcantly improved. Conclusion It＇s an effective procedure to improve the appearance of skin lesions with traumatic epidermal depigmentation and superifcial scar by use of dermabrasion and autologous skin slice grafts. The long-term effect is satisfactory.

关 键 词：皮肤磨削术 自体薄皮片 外伤性色素脱失 浅表性瘢痕 远期疗效 

分 类 号：R619.6[医药卫生—外科学]