婴儿先天性头皮全层缺损的修复 |
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引用本文: | 沈卫民,崔杰,陈建斌,王刚,邹继军,季易,陈海妮.婴儿先天性头皮全层缺损的修复[J].中华整形外科杂志,2010,26(2). |
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作者姓名: | 沈卫民 崔杰 陈建斌 王刚 邹继军 季易 陈海妮 |
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作者单位: | 南京医科大学附属南京儿童医院烧伤整形科,210008 |
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摘 要: | 目的 探讨婴儿先天性头皮全层缺损的修复方法.方法 1996至2008年,对6例先天性头皮伞层缺损的患儿采用换药、皮瓣转移、扩张器扩张二期颅骨修补术等方法进行治疗.结果 6例头顶创面全部愈合.5例术后随访3个月至1年,2例有部分斑秃,2例瘢痕不明显.1例失访.结论 对缺损较小的头顶创面可换药愈合;对中等创面可用皮瓣修复;对巨大全层缺损创面先行换药,同时埋置扩张器扩张,二期行颅骨修补加扩张皮瓣转移术.
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关 键 词: | 头皮缺损 先天性 外科皮瓣 软组织扩张术 |
Management of congenital scalp defects in infants |
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Abstract: | Objective To investigate the management of congenital scalp defects in infants. Methods From 1996 to 2008, 6 infants with congenital scalp defects were treated with dressing change, flap transposition, or tissue expansion combined with skull defect reconstruction. Results Parietal scalp defects in 6 cases were healed after treatment. 5 cases were followed up for 3 months to one year. 2 cases had scalp alopecia in some areas. The scar was inconspicuous in the other 3 cases. Conclusions Dressing change is suitable for small scalp defect, while flap transposition should be used for medium defect. For large full-thickness cranial defect, dressing change and tissue expansion should be performed at the first stage, followed by skull defect reconstruction and expanded flap transposition. |
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Keywords: | Scalp defect Congenital Surgical flap Soft tissue expansion |
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