磨削术加超薄头皮移植术治疗烧伤后面部皮肤色素脱失的可行性及疗效

Feasibility and efficacy of dermabrasion followed by ultra thin split thickness scalp grafting for depigmentation after burn

目的探讨磨削加超薄头皮移植术治疗面部烧伤后皮肤色素脱失的可行性及临床效果。方法 2013-03至2016-07采用局部磨削加超薄头皮移植术治疗面部烧伤皮肤色素脱失患者5例9处(其中住院患者2例,门诊患者3例,男3例,女2例)。色素脱失时间1~16年,色素脱失面积最大3 cm×4 cm,最小1 cm×0.8 cm。结果术后随访1~26个月,植皮成活良好,皮肤色素脱失部位明显改善,色泽、质地与周围皮肤接近,头皮供区愈合良好,毛发生长正常,患者满意。结论局部磨削加超薄头皮移植术,是治疗面部烧伤后皮肤色素脱失的有效方法,手术方法简单,效果确切,供区隐蔽,便于推广。

Objective To explore the feasibility and efficacy of dermabrasion followed by ultra thin split thickness scalp grafting for depigmentation after burn. Methods Five patients（3 males and 2 females,or 2 inpatients and 3 outpatients） with a total of nine depigmented areas were treated with dermabrasion followed by ultra thin split thickness scalp grafting between March 2013 and July2016. The depigmented areas ranged from 1 cm × 0. 8 cm to 3 cm × 4 cm in size,and depigmentation lasted from 1 to 16 years after burn injury. Results All the skin grafts survived well with similar colors and elasticity to recipient sites during the 1 to 26 months of follow-up. The donor sites healed well with normal hair. Conclusions Dermabrasion followed by ultra thin split thickness scalp grafting is an easy and effective approach to depigmentation after burn.