【摘要】 目的:总结使用封闭式负压引流在头皮缺损中使用的方法和效果。方法:2012年7月-2016年9月,收治4例头皮创伤性缺损的患者,年龄25~45岁,男3例,女1例,创面缺损部位:3例为颞顶部头皮,1例为枕部头皮。缺损范围:3.5 cm×2.5 cm~5.0 cm×2.0 cm。明确头皮坏死缺损后即行头皮清创,将坏死组织清除,然后应用封闭式负压引流技术封闭创面持续吸引,每3~7天更换1次,待肉芽组织长平创面后,创面自行修复。结果:所有创面应用负压引流后创面肉芽组织生长良好,平均2周后能填平创面缺损,4~6周后创面能自行愈合。结论:创面封闭式负压引流技术能够在头皮上使用,能成为促进头皮缺损修复的重要治疗手段。更多还原

【Abstract】 Objective:To summarize the method and effect of vacuum sealing drainage technique for scalp coloboma.Method:From July 2012 to September 2016,4 cases,aged from 25-45 years old,3 male,1 female,with scalp coloboma were treated with vacuum sealing drainage.The coloboma located in temporoparietal region for 3 cases,in occiput for 1 case.The sizes of coloboma were about 3.5 cm×2.5 cm-5.0 cm ×2.0 cm.After debridement,application of vacuum sealing drainage was used above the lesion area.The closed wound continues to attract,changing for 3-7 days.The wound repaired itself after granulation tissues grew.Result:Granulation tissue grew well after the application of vacuum sealing drainage,the average time for coloboma filling full with granulation tissue was 2 weeks,the average time for healing of coloboma was 4-6 weeks.Conclusion:Vacuum sealing drainage can be used for scalp successfully,it is a very important treatment to promote the healing of scalp coloboma.更多还原