重复皮肤扩张术治疗瘢痕性秃发的对比分析

Comparative analysis of repeated skin dilation in the treatment of scarring baldness

目的：探讨重复皮肤扩张术治疗瘢痕性秃发的临床效果。方法选择本科重复接力皮肤扩张术治疗瘢痕性秃发28例，重复延期皮肤扩张术治疗瘢痕性秃发21例，对两种治疗方法的手术次数、住院时间、手术费用、麻醉次数等进行比较分析。结果接力扩张术修复瘢痕性秃发28例，修复良好26例，平均住院时间（24±6）d，平均住院费用（2.6±0.3）万元；延期皮肤扩张修复瘢痕秃发21例，修复良好20例，平均住院时间（32±4）d，平均住院费用（3.8±0.4）万元。两种治疗方式的平均住院时间及平均住院费比较差异有统计学意义（P〈0.01）。结论延期皮肤扩张和接力扩张都能较好修复瘢痕性秃发，但后者技术可行，且比前者手术次数减少、住院时间减少、患者费用减少、痛苦也小。

Objective To investigate the clinical effect of repeated skin expansion technique on scarring alopecia. Methods Twenty-eight cases of scarring alopecia underwent repeated relay skin expansion technique were chosen,and 21 cases of scarring alopecia underwent repeated delay skin expansion technique were chose. The times of operations,length of hospital stay,expenses and times of anesthesia were compared between the two methods. Results Relay dilatation was used to repair scarring alopecia in 28 cases,26 patients had good repairment,the average length of hospital stay was（24 ± 6）d, the average hospitalization expenses were（26 ± 3）thousand yuan. Delay skin expansion was used to repair scarring alopecia in 21 cases,20 cases of had good reparrment,the average length of hospital stay was（32 ± 4）d,the average hospitalization expenses were（38 ± 4）thousand yuan. There were significant differences in the average length of hospital stay and the average hospitalization expenses between the two methods（ P〈0 . 01 ）. Conclusions Delayed skin expansion and relayed expansion both can better repair scarring alopecia,but relayed expansion is feasible,and has fewer operation times,shorter length of hospital stay,little costs and pain.