皮肤软组织扩张术联合整形外科缝合技术治疗头皮缺损.docxVIP

皮肤软组织扩张术联合整形外科缝合技术治疗头皮 缺损 Treatment of Scalp Defect by Skin Soft Tissue Expansion Combined with Plastic Surgery Suture Techniques/LONG Hang， XU Jia-li ，HUANG Yin-hao， et al.//Medical Innovation of China，2016，13（27）：102-105 【】 Objective ： To investigate the clinical effect of skin soft tissue expansion combined with plastic surgery suture techniques in treating scalp defect.Method ： From June 2013 to December 2015，7 cases of patients with scalp defect in our hospital were selected ， the skin soft tissue expansion together with plastic surgery suture techniques was applied to treating. The operation was performed by two phases.Phase 1 involved placement of skin expander to the adjacent scalp and regular water injection into the expander for skin expansion.In phase 2， the skin expander was taken out ， the expanded flap was transferred to cover the dermal wound generated after removal of scalp lesion ， and the wound was repaired by plastic surgery suture techniques.Result ： All 7 cases of patients with scalp defect were treated with skin soft tissue dilation and plastic surgery suture techniques.After treatment ， all their flaps survived.Follow-up visits lasted 4 to 12 months， with 7 months as the average.Results from the evaluation according to Zhang Hao and other scholar s methods of evaluating the postoperative effect of skin flap repair were as follows.The cases in this group were all graded at between 8 and 10 ， and showed satisfactory flap shape， color and texture.Results from the evaluation according to Jia Ming and other researcher s method s of scoring hair growth status in the head repair area were as follows.The cases in this group were all scored at between 5 and 10，showed natural hair growth in the repair area ， good hair cohesion with surrounding hair ， and satisfactory aesthetic effect without complications such as epifolliculitis.Conclusion ： Skin soft tissue expansion combined with plastic surgery suture techniques is the ideal way of treating scalp def