中华皮肤科杂志

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延迟性皮肤重复扩张术在皮肤外科的应用

方方1, 赵亮1, 吴信峰1, 林皆鹏2, 王焱1, 王强1, 钱革1   

  1. 1.中国医学科学院、中国协和医科大学皮肤病研究所 南京 210042;
    2.福建省漳州市中医院
  • 收稿日期:2006-01-05 出版日期:2006-04-15 发布日期:2006-04-15

Delayed repeated tissue expansion in dermatological surgery

FANG Fang1, ZHAO Liang1, WU Xin-feng1, LIN Jie-peng2, WANG Yan1, WANG Qiang1, QIAN Ge1   

  1. Department of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing 210042, China
  • Received:2006-01-05 Online:2006-04-15 Published:2006-04-15

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摘要： 目的探讨一种修复头皮部大面积皮肤软组织缺损的有效方法。方法采取皮肤扩张术治疗头部大面积色素痣、瘢痕、皮脂腺痣、疣状血管瘤等皮肤良性损害,对1次皮肤扩张术治疗不完全的15例患者,待前期切口愈合6～11个月后,采取重复扩张术再次扩张治疗,直至皮损被完全切除。结果15例患者经重复扩张术再次治疗后.14例患者皮损被全部切除,1例剩余2%的皮损,均取得满意的效果,未发生并发症。结论延迟性重复皮肤扩张术是目前治疗大面积皮肤良性损害切除后大面积皮肤软组织缺损的理想方法。

关键词: 扩张术, 组织扩展器, 外科皮瓣

Abstract: Objective To explore an effective method of scalp massive defects repair.Methods Patients with giant lesions of pigmented naevus,scar,sebaceous naevus,verrucous hemangioma or other benign neoplasms on the head,were treated by skin tissue expansion.Those whose lesions were not completely removed in the first expansion were treated repeatedly with reexpansion (6 to 11 months after the healing of the previous incision) at the same part of the donor skin,until the lesion was fully excised.Results Fifteen patients were treated by reexpansion and all obtained satisfactory Results.Of them,lesions were completely removed in 14 cases,2% of the lesion was left in 1 case.No obvious complications were observed.Conclusion Delayed repeated expansion is an excellent method to repair massive soft tissue defects in dermatological surgery.

Key words: Tissue expanders, Dilatation, Surgical flaps