摘要
目的:探讨应用头皮扩张术治疗伴有颅骨缺损及感染的头皮瘢痕的方法。方法:对15例头皮瘢痕伴有颅骨缺损及感染的患者,术前均行头颅CT及三维CT检查,经过换药及局部清创后,置入扩张器扩张头皮后,切除瘢痕,覆盖创面。结果:所有患者均获得满意手术效果,皮瓣全部成活,无神经系统并发症。结论:详尽的术前检查,足够量的扩张皮肤,与神经外科的合作,是手术成功的关键。
Objective To explore the method of scalp expansion to treat scalp scar with skull defect and infection. Methods 15 patients with scalp scar with skull defects and infection were treated. All patients received CT and three dimensional CT scan of skull before treatment. The expanders were implanted after gauze changing and debridement. The scar was excised and wound was covered by expanding scalp. Results All patients had satisfactory results. The flaps survived with excellent appearance and no side effects of nervous system occurred. Conclusions Detailed exam before operation, enough expanded scalp and cooperation with neurosurgeon are the keys of operation success.
出处
《中国美容医学》
CAS
2009年第3期285-287,共3页
Chinese Journal of Aesthetic Medicine
关键词
头皮扩张术
颅骨缺损
神经系统
scalp expansion, skull defects, nervous system
