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扩张头皮修复疤痕性秃发17例

Repairing scared alopecia using the soft-tissue expander (report of 17 cases)

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【作者】 王其芳; 施秋顺; 杨燕祥; 宁恩弟; 王业江; 张凤起; 魏志达; 王健; 张铁民;

【Author】 Wang Qi-fang et al. The First Central Hospital of Tianjin

【机构】 天津市第一中心医院; 天津市第一中心医院; 天津二五四医院; 天津第二医学院;

【摘要】 应用国产硅橡胶扩张器修复烧伤后头皮疤痕性秃发17例。秃发面积8~12×9~15cm,其中8例同时埋植2个硅囊扩张器。全部病例均获良好效果。文章讨论了术前扩张器的处理方法及一期术后注射液体过量:头皮张力过大,致皮色苍白时为免皮瓣坏死的解救办法,并对20例(40侧)颅导孔的分布和导血管的形态连行了观测,发现25~35%有伴行动脉。

【Abstract】 From May 1985 to March 1988, we repaired 17 cases of scar alopecia with silicon expander which made in China. Seven of all cases were followed two years after operation. Their hair grows well. Operation: first implant silicon expander under galea aponeurotica and inject normal saline once every 4-7 days. Hair will be all right until the dilated area is doubled. Then cut off scar and repair it completely. Not only provide the skin flap which has the similar colour, quality, thickness and hair, but it will not create new sign of donor area. On the top of the bag there is a liquid-drawing equipment. In order not to damage the emissary. We have observed the distribution and shape of adults complete skull emissary of 20 cases (40 sides).

【关键词】 扩张器; 疤痕性秃发;
  • 【被引频次】3
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