阔筋膜和转移皮瓣在颅脑组织缺损修复中的应用

Reparation and restitution of head tissue deletion with fascia lata and local flap

目的：探讨阔筋膜修补硬脑膜和局部转移皮瓣在颅脑组织缺损修复重建中的应用效果。方法：8例头皮鳞癌侵犯颅骨、硬膜及脑内的患者，切除侵犯的头皮颅骨及硬膜后，组织缺损较大，采取自体阔筋膜修补硬脑膜，局部转移皮瓣修复皮肤缺损，皮瓣供区游离中厚皮片修复。结果：术后2周8例转移皮瓣100％存活，游离植皮区皮肤85％～100％存活，经换药治疗2周均修复。无伤口及颅内感染、无脑脊液瘘。结论：针对头皮鳞癌手术后造成的皮肤颅骨及硬膜缺损，采用自体阔筋膜修补硬膜，局部转移皮瓣和游离皮片移植技术可取得较好的疗效，提高患者生活质量。

Objective：To explore the effect of reparation and restitution of head tissue deletion with autologous fascia lata and local flap. Method：The clinical data of 8 cases with scalp squamous celled carcinoma from 2003 to 2010 were summarized retrospectively. All patients＇ carcinoma were removed almost, cerebral dura mater deletion and skin deletion from 5cm to 15 cm, repaired cerebral dura mater with autologou fascia lata land restitution scalp with local flap, the area of local flap were planted with free skin graft. Result：The outcomes of the treatment with fascia lata were very well, and the local flap of all cases were survival the free skin graft were survival from 85%to 100 %. There was no leakage of cerebrospinal fluid or intracranial infection during follow-up. Conclusion： The method of repairation and reconstruction of head tissue deletion with fascia lata and local flap is effective, the out- comes are satisfying.