皮肤软组织扩张术在头皮神经纤维瘤治疗中的应用  

Application of Skin Soft Tissue Expansion in the Treatment of Scalp Neurofibroma

作　　者：韩钰钰 徐媛 王慜 胡心宝 姜会庆 袁斯明 HAN Yu-yu;XU Yuan;WANG Min;HU Xin-bao;JIANG Hui-qing;YUAN Si-ming(Department of Burn and Plastic Surgery,Eastern Theater General Hospital of the People's Liberation Army,Nanjing 210000,Jiangsu,China)

机构地区：[1]中国人民解放军东部战区总医院烧伤整形科

出　　处：《中国美容医学》2019年第11期1-3,共3页Chinese Journal of Aesthetic Medicine

基　　金：国家自然科学基金（编号：81272989）

摘　　要：目的:探讨皮肤软组织扩张术在头皮神经纤维瘤治疗中的应用效果。方法:回顾性分析2015年1月-2018年12月笔者科室应用皮肤软组织扩张术治疗的12例头皮神经纤维瘤患者。根据肿瘤的部位和面积、二期手术皮瓣转移的方式、头皮血供分布,在瘤体旁正常头皮内置入扩张器。定期注水扩张,至满足修复需求的容量,二期手术切除肿瘤,扩张皮瓣覆盖创面。对于巨大的肿瘤,可多次接力扩张。结果:12例头皮神经纤维瘤患者进行15个周期的扩张治疗,二期手术后肿瘤均成功切除,皮瓣全部成活,切口愈合良好。2例患者出现皮瓣下血肿,经穿刺抽血、加压包扎后治愈。随访1~6个月,肿瘤无原位复发,患者外观满意。结论:对于不超过头皮面积1/2的中小面积头皮神经纤维瘤,皮肤软组织扩张术治疗能获得优良效果。Objective To investigate the application of skin soft tissue expansion in the treatment of scalp neurofibroma.Methods A retrospective analysis was performed on twelve cases of scalp neurofibromas treated by skin and soft tissue expandor in our department from January 2015 to December 2018.According to the location and area of the tumor,the transfer of expanded flap in the second-stage operation,and the distribution of blood vessels in the scalp,an expandor with suitable volume was implanted in the normal scalp adjacent to the tumor.Regular water injection was carried out for expansion until the need of expanded skin for the repair was met.Then tumor was removed and the expanded skin flap was transferred to cover the wound.As to giant tumors,it was feasible to employ multiple expansions.Results Twelve patients were treated with 15 cycles of dilatation,all the tumors were successfully resected,all the flaps survived and the incision healed well after the second stage operation.Two patients presented with subcutaneous hematoma,which was cured by puncture blood drawing and pressure dressing.The patients were followed up for 1 to 6 months.The appearance was satisfying.Conclusion Regarding to scalp neurofibroma with small to medium area,which does not exceed 1/2 of the scalp area,excellent results can be obtained by skin and soft tissue expansion.

关 键 词：神经纤维瘤 软组织扩张术 扩张器 头皮 扩张皮瓣 创面修复 介入栓塞 

分 类 号：R622[医药卫生—整形外科]