摘要
目的探讨应用拱顶石皮瓣修复中小面积头皮软组织缺损的手术方法和疗效。方法自2014年6月至2016年6月,共收治头皮软组织缺损患者10例。创面面积为3.0 cm×2.0 cm^6.0 cm×5.0 cm;皮瓣切取面积4.0 cm×2.5 cm^8.0 cm×5.0 cm,均采用拱顶石皮瓣修复术。以头部血管为蒂,术中注意减少毛囊损伤和毛发生长方向的影响,于紧邻创面旁设计拱顶石皮瓣,既可以减轻皮瓣间的张力,又可起到美容的效果。结果本组共10例患者,术后皮瓣全部成活。随访1~6个月,皮瓣不显臃肿,无凹陷、感染、坏死,外观均良好。结论头部拱顶石皮瓣是利用帽状键膜层穿支血管密集,血供丰富,以及营养皮肤和皮下组织范围广的特点,对中小面积头皮软组织缺损的治疗效果较好。
Objective To explore the approach and efficacy of the keystone perforator island flap in the repair of full-thickness scalp defects. Methods From June 2014 to June 2016, 10 patients with full-thickness scalp defects were admitted to the hospital. The wound areas ranged from 3.0 cm×2.0 cm to 6.0 cm×5.0 cm, and the flap cutting size ranged from 4.0 cm×2.5 cm to 8.0 cm×5.0 cm.The keystone perforator island flap was used in all patients. In order to reduce the influence of hair follicle injury and hair growth direction,the flap was designed along the edge of the defect and the head vessel was taken as the pedicle. This was done to relieve suture tension, but also plays a role in achieving good cosmetic results. Results All flaps survived during followup from 1 to 6 months. No fat, sunken tissue,infection, or necrosis occurred. All flaps achieved an aesthetically natural appearance. Conclusion The head keystone perforator island flap was characterized by dense perforator vessels, rich blood supply, and large scope of nutritional skin and subcutaneous tissue. It provides greater efficacy in cases of small to medium-sized full thickness scalp defects.
作者
邹平志
刘斌
姜任武
李刚
ZOU Ping-zhi LIU Bin J LI Gang.(Burn Department, Xiangtan City Central Hospital, Xiangtan 411100, China)
出处
《中国美容整形外科杂志》
CAS
2017年第10期602-603,614,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
拱顶石皮瓣
头皮缺损
创面愈合
Keystone perforator island flap
Full thickness scalp defects
Wound healing
