皮肤软组织扩张在头面颈部整形修复中的应用.pdfVIP

摘 要 皮肤软组织扩张术在头面颈部整形修复中的应用 研究生：纪雨廷 导师：马少林教授 摘 要 目的：探讨皮肤软组织扩张术在修复头面颈部瘢痕及皮肤软组织缺损中的临床 应用。方法：收集 2003 年 5 月~2009 年 9 月，利用皮肤软组织扩张术，修复头面部 瘢痕或者皮肤软组织缺损的病例 61 例。结果：61 例患者共埋植 76 只皮肤软组织扩 张器，其中 3 例发生切口糜烂，3 例发生外露，2 例发生扩张皮肤局部红肿，1 例发 生血肿；各部位平均扩张速度由快到慢依次为：胸部（17.97ml/天），肩部（14.68ml/ 天），头部（7.89ml/天），颈部（5.83ml/天），面部（3.88ml/天），耳后（1.25ml/ 天）。结论：通过扩张天数的计算，可以确定扩张的时间以及进一步确定二期手术 扩张器取出扩张皮瓣转移的时间。利用皮肤软组织扩张术修复头面颈部瘢痕及皮肤 软组织缺损，修复率可达 85% 以上，不仅在外观上达到满意的疗效，在皮肤功能上 获取得了良好的效果。 关键词：皮肤软组织扩张术；头面颈部；瘢痕；缺损 —1— 新疆医科大学医学硕士学位论文 Application of soft tissue expansion in craniofacial plastic and reconstructive surgery Postgraduate ：Ji Yuting Supervisor ：Prof. Ma Shaolin Abstract Objective: To explore the therapeutic effect of scar or skin defect in head and neck by skin soft tissue expansion. Methods: From May 2003 to September 2009, 61 cases of scar or skin defect in head and neck were repaired by soft tissue expansion. The normal skin and soft tissue were expanded, the scar tissue was resected and the expanded flap was adopted. Result: There were 76 expanders set in 61 patients, incisions of 3 cases were delayed heal, 3 expanders of them were revealed, 2 cases had infectation in region expanded skin, 1 case had hematoma. The expand rates of different part are: chest 17.97ml/d, shoulder 14.68ml/d, scalp 7.89ml/d, neck 5.83ml/d, face 88ml/d, ear 1.25ml/d. Conlusion: To calculate the time of expanding can make sure the precise time of the second operation. Using soft tissue expansion to repair scar or skin defect in head and neck can obtain satisfactory ther