皮肤软组织扩张器在头部疤痕畸形修复中的临床应用

Clinical Application of Skin Soft Tissue Expanders in the Repair of Head Scar Deformity

目的探讨皮肤软组织扩张器在头面部疤痕畸形修复中的应用。方法对本科收治的98例头面部疤痕患者,应用皮肤软组织扩张器修复。手术分三期：一期：埋置扩张器,扩张皮瓣;二期：取出扩张囊后,利用扩张皮瓣修复缺损组织。三期：细微修饰瑕疵。结果本组98例患者埋置扩张器共156个,一次修复疤痕面积最大22cm×14cm,出现切口感染1例,扩张器外漏1例,扩张器不扩张1例,经对症处理后痊愈。术后皮瓣均成活,修复后形态自然,术后随访6-18个月,效果满意,皮肤颜色与正常肤色一致。结论皮肤软组织扩张器是治疗头面部瘢痕患者的有效方法之一,在临床上值得推广。

Objective Explore skin soft tissue expanders facial scar deformity in the repair of head application.Methods To our department admitted 98 cases head facial scar patients,using skin soft tissue expanders repair.Surgery is divided into three periods：The first period： embedding expanders,make flap expansion;The second period：after taking out expansion bladder,Use the expanded skin flap to repair damaged skin soft tissue.The third period：Slight modification flaws.Results 98 cases patients implanted with 156 expanders in this group,the largest repair scar area was 22cm×14cm,one case Appear in wound infection,Expanders leaked out one case,Expanders not expansion one case.after receiving treatment all flaps survived.After the repair,follow-up was 6 to 18 months,the results were satisfactory,the skin color was closely normal.Conclusion Skin soft tissue expanders are treatment in facial and head scar is one of the effective methods,it is worth of being generalized.