摘要
目的 寻找一种修复头皮缺损较好的方法。方法 在创缘外正常头皮下埋植皮肤软组织扩张器,待伤口拆线后即向扩张器囊内注液数次扩张至预计容量时,取出扩张器,将扩张后提供的“额外”头皮用于修复缺损。结果 10例创面有9例得到修得,1例失败,术后随访1—4年,效果满意。结论 在充分完善的术前准备及手术条件下,预计扩张器的容量,尽量无菌操作,组织扩张术可取得较为满意的手术效果。
Objective To find a better way in repairing the scalp defects. Methods At the right time insert (plant) the skin soft tissue expander under the good galea aponerotica of scalp out of wounds. After the wounds are disconnected, the expander can be expanded by injecting of water several times unitl to the expected capacity. The 'additional' scalp brought about from the scalp expansion can be used on defected wounds. Results Among the operated 10 cases of scalp defects, 9 cases have been repaired, 1-4 years of observation after operation, the recovery has been satisfactory except 1 cases failed. Conclusion Under the condition that the operation preparation has been done sufficiently, we designed the parts and the capacity of the expander, the operation infections have been prevented and reduced. The satisfactory effect of repairing the scalp defects can be achieved.
关键词
组织扩张术
头皮缺损
修复
Scalp defects Expanded scalp tissue method Repair
