摘要
目的探讨一种用皮肤软组织扩张法修复缺损的更为简便、有效的手段。方法在瘢痕组织下埋置扩张器,容量80～500ml。1～2个月扩张期满后取出扩张器,切除瘢痕,通过推进皮瓣或旋转皮瓣等方法修复创面。结果于临床应用203例,扩张均成功,瘢痕全部切除,手术后遗留瘢痕不明显,取得了满意效果。结论瘢痕下埋置扩张器损伤小、安全性高、附加切口和延长切口少、手术设计更为灵活、皮瓣应用更加合理,适合大多数瘢痕的修复。
Objective To investigate a more simple and effective method to repair cicatrix by tissue expansion. Methods The dilator with the capacity of 80 - 500ml was implanted into the subcutaneous pocket under the cicatrix. After dilating for one to two months, the dilator was taken out and the wound surface of the cicatrix was removed. The expanded skin flap was advanced or rotated to cover the defects. The procedure was used on 203 cases. Results The dilatation was achieved successfully in all the cases, followed by cicatrix removing and repair. The ineision scar was not noticeable. Conclusions Tissue expansion under the cicatrix has the advantages of safety, less trauma and less extra incisions. It is a reasonable choice to obtain more flexible surgieal designs and more economical skin flap applications. It is suitable for most of the treatment for cicatrix.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2005年第5期348-350,共3页
Chinese Journal of Plastic Surgery
