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多个大容量扩张器在治疗头部巨大瘢痕性秃发中的应用
引用本文:张新合,杨新蕾,郭志谦,江碧川.多个大容量扩张器在治疗头部巨大瘢痕性秃发中的应用[J].临床军医杂志,2008,36(4).
作者姓名:张新合  杨新蕾  郭志谦  江碧川
作者单位:解放军第174医院,烧伤整形科,福建,厦门,361003;解放军第174医院,烧伤整形科,福建,厦门,361003;解放军第174医院,烧伤整形科,福建,厦门,361003;解放军第174医院,烧伤整形科,福建,厦门,361003
摘    要:目的探讨多个大容量扩张器在治疗头部巨大瘢痕性秃发中的应用价值。方法回顾分析我科2003年以来应用多个大容量扩张器治疗16例头部巨大瘢痕性秃发患者的临床资料。计算瘢痕面积及所需扩张的容量,选择300~600ml扩张器,一期手术置入瘢痕区域周围正常皮下,扩张满意后2~4周取出扩张器、切除瘢痕、局部推进、旋转或轴型皮瓣修复创面。结果16例患者共治疗21处瘢痕,置入扩张器35个。修复面积最大14cm×16cm,所有患者均得到有效治疗;4处术后并发血肿,其中1例切口愈合不良扩张器外露。结论多个大容量扩张器在治疗头部巨大瘢痕性秃发中效果显著。

关 键 词:扩张器  皮肤扩张术  瘢痕性秃发  皮瓣

Clinical Application of Multiple Skin Expanders to Treatment of Cicatricial Calvities
Zhang Xin-he,Yang Xin-lei,Guo Zhi-qian,Jiang Bi-chuan.Clinical Application of Multiple Skin Expanders to Treatment of Cicatricial Calvities[J].Clinical Journal of Medical Officer,2008,36(4).
Authors:Zhang Xin-he  Yang Xin-lei  Guo Zhi-qian  Jiang Bi-chuan
Institution:Zhang Xin-he,Yang Xin-lei,Guo Zhi-qian,Jiang Bi-chuan (Department of Burn , Plastics,PLA No.174 Hospital,Xiamen 361003,China)
Abstract:Objective To study the clinical application of multiple skin expander to the treatment of cicatricial calvities.Methods Sixteen patients with cicatricial calvities treated by multiple skin expanders in our department since 2003 were reviewed retrospectively. We calculated the expanded volum and selected 300-600 ml expanders which were put under the aponeurotica gales nearby the scars. After full expansion, the expanders were taken out along with the scars excised, and the expanded skin flaps were transplant...
Keywords:expander  skin dilation  cicatricial calvities  flap  
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