头皮撕脱伤的早期处理与晚期修复

目的探讨伴颅骨外露的头皮撕脱伤的治疗方法.方法早期清创,将撕脱头皮修剪成全厚皮片移植于创面,待肉芽组织覆盖创面后,清除干性坏死的头皮,创面用大张中厚皮片修复;对有足够残留发区者,则于术后6个月采用扩张术治疗秃发畸形.结果自1994年4月以来治疗8例,肉芽组织完全覆盖创面时间平均为51天,移植中厚皮片均100%成活;5例接受头皮扩张术治疗秃发畸形,效果满意.结论早期创面修复结合晚期秃发畸形整复是治疗伴颅骨外露的头皮撕脱伤的适宜方法.

Early Treatment and Late Repair of Scalp Avulsion

Objective To probe the therapeutic method of scalp avulsion with cranial bone exposure. Methods: The full thickness skin grafts from avulsed scalps were transplanted to wounds after early debridement. When the wounds were totally covered by granulation, the dry necrotic scalps were removed and the wounds were covered with split thickness skin grafts. The scalp expansion was employed to repair secondary alopecia 6 months later. Results: 8 patients had been treated since April 1994. The mean period that the wounds were totally covered by granulation was 51 days. The survival rate of the transplanted split thickness skin graft was 100%. 5 patients were treated with scalp expansion. The satisfactory results were reached in all patients. Conclusion:It might be a suitable method to treat scalp avulsion with cranial bone exposure with early wound repair and late plastic operation.