皮肤软组织扩张术在烧伤外科的应用

目的 总结采用皮肤软组织扩张术的方法修复大面积严重烧伤后畸形及颅骨深度电烧伤新鲜创面的临床效果。方法 １９９８年以来，应用皮肤软组织扩张术８３例１６０个扩张器，对大面积严重烧伤后畸形、全鼻缺损患者，于前额烧伤后植皮皮下及额肌下行组织扩张术，设计带血管蒂的软组织扩张后烧伤植皮岛状皮瓣，切取肋软骨为支架，完全全鼻再造。对颅骨深度电烧伤，应用软组织扩张术将新鲜颅骨深度烧伤创面修复与后期烧伤后头皮瘢痕秃发

APPLICATION OF SKIN AND SOFT TISSUE EXPANSION IN TREATMENT OF BUR NINJURY

Objective To evaluate the application of skin and soft tissue expansion in the treatment of deformity due to extensive severe burn injury and repair of severe deep electrical burned scalp and skull with fresh wound. Methods From 1988, 83 cases of application of skin and soft tissue expansion were reported. In those patients with deformity due to severe burn of large area and with whole nasal defect, soft tissue expander was used under the forehead skin graft and venter frontalis, followed by reconstruction of nose with the expanded vascularized skin flap and carved cartilago costalis as nasal frame. In patients of severe deep electrical burned scalp and skull with fresh wound, skin and soft tissue expansion were used to repair the wound simultaneously with scalp burn alopecia, anesthetics and antibiotics injected into the extracapsular space of the expander in case of pain and infection. Results All of the cases were successfully treated with little pain and minimized infection. Conclusion Skin and soft tissue expansion is a safe and reliable measure in the treatment of deformity due to extensive severe burn injury and repair of severe deep electrical burned scalp and skull with fresh wound.