皮耐克+皮片移植修复头部恶性肿瘤切除后颅骨外露创面
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摘要
目的探讨皮耐克联合自体皮片游离移植在头部恶性肿瘤切除术后骨外露创面中的临床应用效果。方法回顾性分析自2014年3月至2017年3月经组织病理检查确诊为头部恶性肿瘤,肿瘤切除术后伴有不同程度颅骨外露且以皮耐克联合自体皮片移植分期进行创面修复31例患者的临床资料。结果本组患者共31例,移植的自体皮片均成活良好,最终创面均全部愈合。结论采用皮耐克联合自体皮片游离移植修复头部恶性肿瘤切除术后颅骨外露创面,临床效果可靠,操作简单,值得在临床推广。
Objective To explore the clinical efficacy of PELNAC combined with autogenous skin transplantation in the repair of skull exposure wound after malignant scalp tumor excision. Methods From March 2014 to 2017, 31 patients diagnosed with skull exposure wound after malignant scalp tumor excision and repaired in our department by PELNAC combined with autogenous skin transplantation were retrospectively analyzed. Results All autogenous skin grafts survived well, and the wounds healed completely. Conclusion Application of PELNAC combined with autogenous skin transplantation in the repair of skull exposure wound after malignant scalp tumor excision has reliable clinical efficacy and is a simple operation. It should be considered for popularization in clinic.
Objective To explore the clinical efficacy of PELNAC combined with autogenous skin transplantation in the repair of skull exposure wound after malignant scalp tumor excision. Methods From March 2014 to 2017, 31 patients diagnosed with skull exposure wound after malignant scalp tumor excision and repaired in our department by PELNAC combined with autogenous skin transplantation were retrospectively analyzed. Results All autogenous skin grafts survived well, and the wounds healed completely. Conclusion Application of PELNAC combined with autogenous skin transplantation in the repair of skull exposure wound after malignant scalp tumor excision has reliable clinical efficacy and is a simple operation. It should be considered for popularization in clinic.
引文
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[6]林加豪,邱海胜,朱其,等.应用皮能快愈敷料修复全层甲床缺损[J].中华手外科杂志,2012.28(4):248-249.
[7]Bruneti B,Tenna S,Segreto F,et a1.The use of acelular dermal matrix in reconstruction of complex scalp defects[J].Dermatol Surg,2011,37(4):527-529.
[8]陈伟,邱林,田晓菲,等.车祸致小儿足跟软组织严重损伤的临床治疗[J].中华小儿外科杂志,2014,35(10):760-764.
[9]陈柏秋,彭文要,邱加崇,等.封闭负压引流技术联合人工真皮修复慢性创面的临床研究[J].国际医药卫生导报,2014,20(8):1094-1097.
[10]肖云,王惠平,何爱咏,等.VSD、皮耐克、自体皮移植序贯法修复皮肤软组织缺损的围手术期处理[J].中国现代手术学杂志,2012,16(5):373-375.
[2]Narushima M,Mihara M,Yamamoto Y,et a1.Hair transplantation for reconstruction of scalp defects using artificial dermis[J].Demratol surg,2011,37(9):1348-1350.
[3]Spector JA,Glat PM.Hair-bearing scalp reconstruction using a dermal regeneration template and micrograft hair transplantation[J].Ann Plast Surg,2007,59(1):63-66.
[4]Faulhaber J,Felcht M,Teerling G,et al.Long-term results after reconstruction of full thickness scalp defects with a dermal regeneration template[J].J Eur Acad Vencrcol,2010,24(5):572-577.
[5]陈杏晔,李凡,刘爱军.皮耐克组织工程皮肤修复皮肤创面的研究[J].广州中医药大学学报,2015,32(3):529-532,580-582.
[6]林加豪,邱海胜,朱其,等.应用皮能快愈敷料修复全层甲床缺损[J].中华手外科杂志,2012.28(4):248-249.
[7]Bruneti B,Tenna S,Segreto F,et a1.The use of acelular dermal matrix in reconstruction of complex scalp defects[J].Dermatol Surg,2011,37(4):527-529.
[8]陈伟,邱林,田晓菲,等.车祸致小儿足跟软组织严重损伤的临床治疗[J].中华小儿外科杂志,2014,35(10):760-764.
[9]陈柏秋,彭文要,邱加崇,等.封闭负压引流技术联合人工真皮修复慢性创面的临床研究[J].国际医药卫生导报,2014,20(8):1094-1097.
[10]肖云,王惠平,何爱咏,等.VSD、皮耐克、自体皮移植序贯法修复皮肤软组织缺损的围手术期处理[J].中国现代手术学杂志,2012,16(5):373-375.