头皮脑回样病变畸形

Cutis verticis gyrata

目的 提高对头皮脑回样病变畸形的认识和治疗水平。方法 复习有关文献，对头皮脑回样病变畸形的病因、临床表现、诊断、分类和治疗进行了分析，采用切除后植皮或扩张头皮瓣修复治疗6例。结果 6例病变切除彻底，随访无复发。其中2例植皮病例患者导致局部秃发，4例扩张头皮瓣修复外形满意。结论 头皮脑回样病变畸形是一种罕见的头皮良性病变，头皮扩张术是修复治疗头皮脑回样病变的理想方法。

Objective To improve the recognition and treatment of Chinese cutis verticis gyrata. Methods Based on the review of the etiopathology, clinical features, diagnosis, classification and treatment of the disease in the literatures, six patients with the cutis verticis gyrata were treated with the skin graft or the expanded scalp flap. Results The operative effects were satisfactory during 6 months to 5 years of the follow- ups. No recurrence was found in all cases. Two patients treated with skin graft had lead to baldness, four patients treated with the expanded scalp flap had been good appearance. Conclusions The method of the expanded scalp flap is good and effective treatment for the cutis verticis gyrate.