儿童头皮扩张修复瘢痕性秃发

THE CLINICAL APPLICATION OF SCALP EXPANSION IN THE REPAIR OF CICATRICIAL BALDNESS IN CHILDREN

目的探索儿童瘢痕性秃发的修复方法。方法１９８８年２月～１９９８年２月共收治儿童因烧伤后致瘢痕性秃发４５例，采用软组织扩张器行头皮扩张修复秃发区。介绍了儿童头皮扩张的特点、方法及其手术原则。结果术后效果满意，随访到５例，随访时间１～２年，除毛发生长方向改变外，扩张区和正常区头发无明显差异。结论在烧伤瘢痕性秃发的修复方法中，应首选软组织扩张术。

Objective To introduce the clinical application of the expanded graft from scalp in the repair of cicatricial baldness in children. Methods 45 cases with baldness following burn from 1988 to 1998 were reported. All of these patients (age ranged from 5～11 years) were treated by soft tissue expander. Results 5 cases were followed up for 1～2 years, the clinical results showed that the result from the graft of scalp expansion was satisfactory, and the long term follow up revealed that the hair in expended area and that in normal area was almost the same except the orientation of hair distribution had some difference. Conclusion The head scalp expension might be the first choice in the repair of cicatricial baldness following burn.