扩张头皮瓣修复头部病损的临床效果  

Clinical Effect of Expanded Scalp Flaps for Repairing the Lesions on Head

作　　者：陈永军 唐银科 楚菲菲 马显杰 CHEN Yongjun;TANG Yinke;CHU Feifei;MA Xianjie(Department of Plastic Surgery,the First Affi lited Hospital of Air Force Medical University,Xi'an 710032,Shaanxi,China)

机构地区：[1]空军军医大学第一附属医院整形外科,陕西西安710032

出　　处：《中国美容医学》2022年第11期1-4,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨应用扩张后头皮瓣修复头部病损的临床效果。方法:2016年3月-2020年3月,空军军医大学第一附属医院整形外科共收治先天性及后天性头部病损患者69例,均采用扩张头皮瓣修复。根据病变大小选择合适扩张器,扩张器置入帽状腱膜下,经过定期注水,充分扩张后,采用直接推进或易位皮瓣修复病损切除后创面。结果:本组69例患者,一期扩张术后血肿4例,扩张器感染7例,扩张皮瓣破溃3例,其中2例扩张器感染导致手术失败,其余患者均扩张充分,二期皮瓣转移术后全部成活,无感染、局部坏死等并发症。随访时间3~12个月,病损无复发,修复效果满意。结论:扩张头皮瓣组织量充足、皮瓣血供好,是修复头部病损的较好方法。Objective To investigate the clinical effect of expanded scalp flaps in repairing the lesions on head.Methods From March 2016 to March 2020,69 patients with congenital or acquired head lesions were treated in the Plastic Surgery Department of the First Affiliated Hospital of Air Force Medical University,all of which were repaired with expanded scalp flap.The appropriate expander was selected according to the size of the lesion,and the expander was placed under the galea aponeurotica.After regular water injection,the expander was fully expanded,and the direct advance or transposition flap was used to repair the defect after resection of the lesion.Results In this group of 69 cases,there were 4 cases of hematoma after primary expansion,7 cases of expander infection,and 3 cases of expanded skin flap rupture,among which 2 cases of expander infection resulted in operation failure.The rest cases were fully expanded,and all expanded flap survived after transfer without infection,necrosis and other complications.Follow-up time was 3 to 12 months.No recurrence was found and the repair effect was satisfactory.Conclusion The expanded scalp flap is a good method for repairing head lesions with sufficient tissue and good blood supply.

关 键 词：皮瓣 组织扩张术 瘢痕秃发 色素痣 疣状痣 创面修复 

分 类 号：R622[医药卫生—整形外科]