头颈部皮肤软组织重复扩张术  

Repeated tissue expansion in head and neck

作　　者：靳小雷[1] 赵敏[1] 黄金井[1] 刘珍君[1] 熊斌[1] 陈建[1] 吕唯[1] 戚可名[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院,北京100041

出　　处：《中华医学美学美容杂志》2004年第1期4-6,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　总结应用重复扩张术治疗 30例头颈部皮肤软组织缺损的经验 ,探求能达到满意效果的手术方法。方法　对已扩张 1次后的皮肤软组织进行 1～ 3次重复扩张 ,利用重复扩张皮瓣分次修复头颈部皮肤软组织缺损。缺损面积最大为 2 9cm× 2 4cm ,最小为 10cm× 8cm。对头颈部重复扩张术的适应证、并发症、治疗经验进行讨论。结果　共治疗 30例 ,第 1～ 4次扩张过程中的并发症发生率分别为 2 7%、15 %、14 %、0 %。随访 6～ 12个月 ,外观及功能恢复满意。结论　重复扩张术是修复头颈部大面积病变的一种较好的可行方法。Objective To summarize the experiences in treating 30 cases of skin soft tissue defects in head and neck by applying repeated expansion, and to explore an effective and satisfactory method of massive defect repair in head and neck. Methods Skin soft tissues were repeatedly expanded for 1 to 3 times after the first expansion. Massive skin defects in head and neck were repaired several times by useing repeated expansion of flap. The size of the skin defects ranged from 29cm×24cm to 10cm×8cm. The indications, complications and experiences in the treatment were discussed. Results A total of 30 cases were treated. Complication incidences of every expansive procedure were 27%, 15%, 14% and 0% respectively . After 6～12 months postoperative follow-up, the appearance and functional restoration was satisfactory. Conclusion Repeated expansion is an excellent method of repairing massive defects in head and neck.

关 键 词：头颈部皮肤软组织重复扩张术 头颈部皮肤软组织缺损 手术方法 手术并发症 

分 类 号：R622[医药卫生—整形外科]