摘要
目的 探讨小儿瘢痕性秃发的治疗方法。方法 自 1991年 1月至 2 0 0 0年 1月 ,共收治小儿瘢痕性秃发34例。本组均采用皮肤软组织扩张术 ,切口可据不同情况选择在瘢痕区、瘢痕与正常头皮交界区及正常头皮区 ,将扩张器植入剥离腔隙后 ,将帽状腱膜与其下骨膜固定数针 ,防止扩张器突入切口下而影响切口愈合 ,注水不宜过急 ,防止毛囊缺血坏死。Ⅱ期皮瓣转移时 ,可设计直接推进皮瓣、旋转易位皮瓣等。Ⅱ期手术时采用头皮止血带以减少失血。结果 临床治疗 34例 ,均获得近期满意效果。
Objective To investigate the treatment for child cicatricial baldness. Methods 34 children with cicatricial baldness treated in our hospital from Jan. 1991 to Jan. 2000 were reviewed. Soft tissue expansion was performed on all of the sick children. The incision could be made either in the cicatricial area or the border area between the scar and normal scalp. After the dilator was implanted into the detached lacuna, the galea and the periost cum under it should be fixed with several stitches so as to avoid the intrusion of the dilator below to the incision, which may affect its healing. Water should be infused slowly to prevent hair follicle necrosis. For the secondary transposition, the direct propelling and rotation displacement flaps could be designed for use. During the secondary surgery, scalp tourniquets should be used to reduce blood loss. Results The 34 children were treated with short-term satisfactory effect. Conclusion Skin soft tissue expansion is the best way of repairing cicatricial baldness.
出处
《实用美容整形外科杂志》
2001年第6期286-288,共3页
Journal of Practical Aesthetic and Plastic Surgery
