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| 头皮缺损合并颅骨外露或缺损的皮瓣修复 | |
| 引用本文： | 肖目张,杨兴华,黄晓元,龙剑虹. 头皮缺损合并颅骨外露或缺损的皮瓣修复[J]. 创伤外科杂志, 2008, 10(4): 308-310 |
| 作者姓名： | 肖目张 杨兴华 黄晓元 龙剑虹 |
| 作者单位： | 中南大学湘雅医院烧伤整形科,湖北,长沙,410008;中南大学湘雅医院烧伤整形科,湖北,长沙,410008;中南大学湘雅医院烧伤整形科,湖北,长沙,410008;中南大学湘雅医院烧伤整形科,湖北,长沙,410008 |
| 摘 要： | 目的 探讨头皮缺损合并颅骨外露或缺损的皮瓣修复方法.方法 自1997年2月～2007年7月共收治头皮缺损合并颅骨外露或缺损87例,行多个局部头皮瓣转移或双侧旋转皮瓣转移、轴型头皮皮瓣转移结合皮片移植、吻合血管的游离皮瓣移植修复手术.头皮缺损最大面积22.3cm×25.8cm,颅骨外露最大面积21.3cm×15.8cm,颅骨缺损最大面积11.7cm×8.4cm.结果 共切取皮瓣及肌皮瓣87块,其中1例背阔肌肌皮瓣坏死,行颅骨钻孔肉芽生长植皮后愈合.其余皮瓣皮片均完全成活,术后随访6个月～4年,效果满意.结论 轴型头皮皮瓣转移是修复大面积头皮缺损伴颅骨外露或颅骨缺损的有效方法之一.多个局部头皮瓣转移或双侧旋转皮瓣转移是修复较小范围头皮缺损并颅骨外露或缺损的较理想的方法. |
| 关 键 词： | 头皮缺损 颅骨缺损 皮瓣修复 |
Repair of scalp defect and skull exposure or skull defect by skin flaps graft |
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| XIAO Mu-zhang,YANG Xing-hua,HUANG Xiao-yuan,et al.. Repair of scalp defect and skull exposure or skull defect by skin flaps graft[J]. Journal of Traumatic Surgery, 2008, 10(4): 308-310 | |
| Authors: | XIAO Mu-zhang YANG Xing-hua HUANG Xiao-yuan et al. |
| Affiliation: | XIAO Mu-zhang,YANG Xing-hua,HUANG Xiao-yuan,et al.(Department of Plastic , Burns Surgery,Xiangya Hospital,Central South University,Changsha 410008,China) |
| Abstract: | Objective To discuss different procedures of repair of scalp defect and skull exposure or skull defect by skin flaps graft.Methods From 1997 to 2007,Different methods were used to repair 87 cases with scalp defect and skull defect or skull exposure after trauma,electric burns,scar ulcer and tumor or other occasions.Some cases had been repaired by multiple scalp flaps transposition or bilateral rotation skin flap graft,other cases had been repaired by axial scalp flaps transfer with split skin graft,and stil... |
| Keywords: | scalp defect skull defect skin flap graft |
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