头皮扩张术治疗大面积瘢痕性秃发

Scalp expanding in the treatment of large cicatricial baldness

目的:总结扩张术治疗大面积瘢痕性秃发的临床经验。方法:自2005年1月～2010年12月,应用皮肤软组织扩张术治疗因火焰烧伤、化学烧伤、撕脱伤愈合后遗留的大面积瘢痕性秃发,共18例。根据秃发及正常头皮的面积选择扩张器大小,将扩张器置入帽状腱膜下,放置引流管,3天后开始向扩张囊注液,注液总量据瘢痕秃发面积而定,一般修复1cm头皮,需要注水4.0～4.5ml。行扩张器取出、瘢痕秃发切除、头皮皮瓣转移术。结果:临床治疗18例大面积瘢痕性秃发病人,均取得满意效果。结论:皮肤软组织扩张术是修复大面积瘢痕性秃发的理想方法。

Objective To summary the experience in clinical application of scalp expanding technique for treatment of large cicatricial baldness.Methods From January 2005 to December 2010,18 patients with large cicatricial baldness were admitted to our department for treatment.The causes were burns,chemical or avulsion.Right choice of expanders depend on baldness and normal scalp area.In the first stage,a tissue expander was inplanted into the subgaleal.After a sufficient skin expansion was made by the routine water affusion,cicatricial baldness resection and the expanded scalp flap graft was operated.Results All the 18 cases were treated with a satisfactory therapeutic result.Conclusion Skin soft tissue expansion is an ideal method to repair cicatricial baldness with large area.