【摘要】 我们自1990年4月至1993年5月共治疗8例广泛头皮深度烧伤伴有颅骨全层坏死的病例,早期经头颅 CT 及^99m锝同位素颅骨扫描检查明确颅内损伤及颅骨坏死范围后,采用吻合血管的血流量大的肌皮瓣或游离皮瓣移植,在保留坏死颅骨情况下Ⅰ期修复创面。8例中4例创面Ⅰ期愈合,另3例在已愈合皮瓣保护下多次清创去除死骨。经术后1～4年随访表明,坏死颅骨作为修复支架保留,避免了颅骨缺损可能造成的并发症及后遗症。本组仅1例于入院后24 h 因颅脑严重损伤而死亡。我们所介绍的这一方法为类似严重病例的治疗提供了有效手段。更多还原

【Abstract】 From 1990 to 1993 eight patients suffering from extensive deep burn of scalp with full-thickness necrosis of calvarial bone were treated.The intra-cranial dam- age following electrical injury or prolonged contact with heat source,and the extent of skull necrosis were delineated by CT and bone scanning.Primary coverage of the ex- posed calvarial bone using musculo-cutaneous flap or free skin flap was done,leaving the necrosed skull in situ to serve as a scaffold of“creeping substitution”for bone regenera- tion.Primary healing of the wound was achieved in four cases.Three cases required an average of 2.6 times of curettage or excision of the infected bone.None of the cases re- quired a late reconstruction of the skull in this group.更多还原