【摘 要】
：
目的 探讨应用预制扩张胸三角等联合皮瓣修复全面及颈部瘢痕的效果。方法 在胸三角至肩胛区植入600～800ML柱形扩张器,经3至4个月注水,注水后容量为1500～2000ML,获得足够的皮肤后,切除面颈部瘢痕,创面应用扩张后胸三角皮瓣转移修复,4周后断蒂,利用蒂部皮瓣修复剩余瘢痕切除后的创面。此后为改善皮瓣厚度、修复剩余创面,在转移于面部的皮瓣下应用70ML～100ML柱形扩张器,分别进行1至3次的
【出 处】
：
2014中华医学会整形外科分会第十三次全国学术交流会
论文部分内容阅读
目的 探讨应用预制扩张胸三角等联合皮瓣修复全面及颈部瘢痕的效果。方法 在胸三角至肩胛区植入600～800ML柱形扩张器,经3至4个月注水,注水后容量为1500～2000ML,获得足够的皮肤后,切除面颈部瘢痕,创面应用扩张后胸三角皮瓣转移修复,4周后断蒂,利用蒂部皮瓣修复剩余瘢痕切除后的创面。此后为改善皮瓣厚度、修复剩余创面,在转移于面部的皮瓣下应用70ML～100ML柱形扩张器,分别进行1至3次的再扩张,最终完全修复全颜面部瘢痕。结果 在胸三角至肩胛区共置入8枚扩张器,1例出现感染经对症治疗予以控制,其余扩张器顺利扩张。皮瓣转移后1例皮瓣远端发生少量坏死,经换药后创面愈合,其余转移的皮瓣全部成活。在转移面部的皮瓣下植入的扩张器11枚扩张器,2例出现感染经对症治疗予以控制,其余扩张器顺利扩张。修复后皮瓣色泽厚度质地接近正常部位,患者和家属均满意,取得了很好的修复效果。结论 对于全面颈部瘢痕,应用预制扩张胸三角等联合皮瓣修复是一种很好的方法。并且在转移后的皮瓣下进行多次再扩张对于改善皮瓣厚度,修复眼周,鼻旁,口周等精细部位具有良好效果。
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