摘要
目的 对受伤超过 12小时以上的头皮撕脱伤治疗作回顾和总结。 方法 1992年 10月～ 2 0 0 1年 7月对 7例头皮撕脱在 12小时以上 ,撕脱面积达 2 %体表面积 ,头部创面和头皮伴不同程度污染 ,同时分别伴有休克和颅脑外伤者 ,通过将撕脱的头皮制成条状中厚皮片游离回植 ,覆盖头部创面。 结果 术后 4例回植头皮片 90 %以上成活 ,3例回植头皮片 80 %以上成活 ,直径在 4 cm以上颅骨裸露区覆盖的头皮片中央有小面积坏死 ,需行外板钻孔植皮。 结论 治疗只要处理适当 ,可考虑放宽头皮游离回植的条件 ,为患者节约自体皮肤 。
Objective To investigate a treatment method for overtime avulsion of scalp. Methods Form October 1992 to July 2001, we treated 7 cases of avulsed scalp, which had been wounded more than 12 hours and accompanied with shock and head wound, with split thickness scalp skin grafting. Results Except for partial necrosis of scalp in center of bare area of skull, more than 90% of grafting split thickness scalp skin survived in 4 cases and more than 80% in 3 cases, and presented satisfactory appearance during following up. The bare area had no periosteum above 4 cm in diameter needed to graft split thickness skin after skull was covered granulation tissue. Conclusion The limits of time of scalp skin grafting will be prolonged as long as the processes are settled properly to maintain the skin of body.
出处
《中国修复重建外科杂志》
CAS
CSCD
2003年第5期388-390,共3页
Chinese Journal of Reparative and Reconstructive Surgery
