人工真皮联合KCI负压吸引装置修复头皮恶性肿瘤术后颅骨外露  

Artificial dermis combined with KCI negative pressure suction device in repair of skull exposure after scalp malignant tumor surgery

作　　者：李佳玲 王宇翀 薛春雨 李军辉 朱吉 Li Jialing;Wang Yuchong;Xue Chunyu;Li Junhui;Zhu Ji(Department of Plastic Surgery,Changhai Hospital Affiliated to the Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学附属长海医院整形外科,上海200433

出　　处：《中华医学美学美容杂志》2021年第3期199-202,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨人工真皮联合美国KCI公司负压吸引装置在头皮恶性肿瘤术后头皮缺损伴颅骨外露创面中的修复效果。方法2016年1月至2018年6月,海军军医大学附属长海医院整形外科对18例(男11例、女7例,年龄47~75岁,平均63岁)头皮恶性肿瘤术后头皮缺损伴颅骨外露的患者采取人工真皮联合KCI负压吸引装置治疗。结果18例患者一期创面愈合良好,人工真皮完成肉芽化时间10~14 d,平均12.1 d。二期植皮术后皮片存活率100%,色泽形态均一、富有弹性、无明显瘢痕增生、挛缩。术后随访6~24个月,未见肿瘤复发,植皮区皮肤形态良好,抗摩擦力强,患者满意。结论人工真皮联合KCI负压吸引装置修复肿瘤术后头皮缺损伴颅骨外露的创面是一种简单有效的方法。Objective To investigate the effect of artificial dermis combined with KCI negative pressure suction device in the repair of scalp defect with skull exposure after the operation of scalp malignancy.Methods From January 2016 to June 2018,18 patients with scalp defect and skull exposure after scalp malignant tumor surgery were treated with artificial dermis combined with KCI negative pressure suction device.Results Eighten patients had good wound healing after the first stage of surgery,and no infection occurred.The time for artificial dermis to complete granulation was 10-14 days,with an average of 12.1 days.After the second stage of skin grafting,the skin graft had a survival rate of 100%,with uniform color and good elasticity,without obvious scar hyperplasia or contracture.The postoperative follow-up period was 6 to 2 months,all the patients healed well without tumor recurrence,with good skin elasticity and friction-resistant,and they were satisfied.Conclusions Artificial dermis combined with KCI negative pressure suction device is an effective and simple method to repair the scalp defect with skull exposure after tumor surgery.

关 键 词：头皮 皮肤肿瘤 人工真皮 负压创面治疗 颅骨外露 

分 类 号：R739.5[医药卫生—肿瘤]