头皮缺损修复方法的选择

The Different Reconstructive Methods for Scalp Defect

目的探讨头皮缺损修复方法的选择。方法 2007年6月至2014年6月,共收治头皮缺损36例,其中外伤16例,肿瘤术后20例。分别应用直接缝合或局部皮瓣（28例）,筋膜瓣联合植皮（4例）,远位皮瓣（2例）,游离皮瓣（2例）修复创面。结果术后随访1~6个月,全部头皮创面应用皮瓣（植皮）修复均存活,无明显术后并发症。与其他方法相比,采用直接缝合或局部皮瓣修复的患者术后瘢痕不明显,毛发生长良好。结论应用局部皮瓣修复较大（直径〈10 cm）头皮创面,手术操作简便,皮瓣易存活,术后毛发生长良好,是治疗头皮缺损较理想的方法。

Objective To explore the different reconstructive methods for scalp defect. Methods From June 2007 to June 2014, 36 patients with scalp and calvaria defects caused by trauma（16 cases） and tumor（20 cases） were treated with direct suturing or local flap（28 cases）, fascial flap combing skin grafting（4 cases）, remote skin flap（2 cases） and free flap（2cases）. Results All the patients were followed up for 1 to 6 months, the flaps including skin grafts were all survived, and no major complications were observed. In the patients treated with direct suturing or local flap, the scar was less obvious and the hair grew better compared with other methods. Conclusion Local flap is an excellent reconstructive option for repairing the scalp defect with its convenience, high survival rate, good hair growth and good appearance.