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全头皮撕脱再植成功1例报告
引用本文:戚剑 毛红兵 许扬滨 刘少博 杨光诗 向剑平. 全头皮撕脱再植成功1例报告[J]. 中山医科大学学报, 2005, 26(6): F0002-F0002,i0020,F0003
作者姓名:戚剑 毛红兵 许扬滨 刘少博 杨光诗 向剑平
作者单位:[1]中山大学附属第一医院显微外科,广东广州510080 [2]湖南省永州市中医院骨科,湖南永州425000 [3]广东省乐昌市中医院外科,广东乐昌512200
摘    要:
【目的】报告2003年10月通过重建血循环再植成功的严重全头皮撕脱伤病例。【方法】全麻下,将撕脱头皮及颅面部创面彻底清创,于10-16倍显微镜下吻合右侧颞浅动脉和左侧颞浅静脉重建撕脱头皮血循环,手术历时7h。【结果】再植头皮94%成活,术后两个月成活头皮毛发生长。【结论】高质量的血管吻合和正确的血管处理,一条颞浅动脉和一条颞浅静脉的吻合亦可保证再植头皮成活。

关 键 词:头皮 撕脱伤 再植
文章编号:1672-3554(2005)06-封2-02
收稿时间:2005-06-21
修稿时间:2005-06-21

Successful Replantation of a Case of Entire Scalp Avulsion
Qi Jian;Mao GongBing;Xu YangBin;Liu ShaoBo;Yang GuangShi;Xiang JianPing. Successful Replantation of a Case of Entire Scalp Avulsion[J]. Academic Journal of Sun Yat-sen University of Medical Sciences, 2005, 26(6): F0002-F0002,i0020,F0003
Authors:Qi Jian  Mao GongBing  Xu YangBin  Liu ShaoBo  Yang GuangShi  Xiang JianPing
Abstract:
[Objective] A case of severe total scalp avulsion was replanted successfully by microvascular anastomosis of one artery and one vein on October, 2003. [Methods] General endotracheal anesthesia was induced. The right superficial temporal artery and the left superficial temporal vein were anastomosed under 10-16 x microscope after careful debridement for the avulsed scalp and head wound. Operative time was 7 hours.[Result] 94% of the replanted scalp survived. Follow-up of the patient for 2 months showed adequate growth of hair. [Conclusion] With careful debridement, dissection, and repair of the vessels, successful mierosurgieal replantation of the total scalp avulsion is possible even only using a superficial temporal artery and a superficial temporal vein.
Keywords:scalp   avulsion   replantation
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