电击伤致头皮缺损伴颅骨外露的修复研究

目的：介绍电击伤致头皮缺损伴颅骨外露的修复方法。方法2009年6月～2013年7月，共9例患者因头部电击伤致头皮缺损伴颅骨外露就诊，年龄17～55岁，男8例，女1例，均伴有颅骨坏死。病情平稳后一期行头部坏死组织清创，局部头皮瓣转移，供区游离皮片移植手术。至少3个月后二期行植皮区周围扩张器植入术，三期行扩张器取出，移植皮片切除，扩张皮瓣转移术。结果9例患者经手术后皮瓣均成活良好，1例植皮区皮下血肿。二、三期扩张器修复后9例患者头部均达到满意外形。结论分期修复电击伤致头皮缺损伴颅骨缺损能够达到良好的手术效果。

Study of scalp loss accompanied with skull exposure caused by electric injury

[ABSTRACT]OBJECTIVETo introduce the treatment
method for scalp loss accompanied with skull exposure caused by electric injury.METHODSFrom June 2009 to July 2013, 9 patients were admitted to our department because of scalp loss accompanied with skull exposure caused by electric injury, ranging in age from 17 to 55 years. Of all the cases, 8 patients were male, and 1 female. All patients were accompanied with skull osteonecrosis. For the first stage, debride the necrotic tissue, transfer the local skin flap, and transplant free skin on the secondary wound surface. Soft tissue expander was implanted for the second stage after 3 months. For the third stage, soft tissue expander was taken out, transplanted skin was excised, and expanded flap was transferred.RESULTSAll skin flaps were successfully transferred. 1 case was accompanied by ecchymoma under the transferred free skin. After the second and the third stage, all 9 patients got satisfied skull shape.CONCLUSIONStaged repair of the scalp loss accompanied with skull exposure caused by electric injury could achieve satisfied result.