[1]韩钰钰,徐 媛,王 慜,等. 皮肤软组织扩张术在头皮神经纤维瘤治疗中的应用[J].中国美容医学,2019,(11):1-2.
　HAN Yu-yu,XU Yuan,WANG Min,et al. Application of Skin Soft Tissue Expansion in the Treatment of Scalp Neurofibroma[J].Medical Aesthetics and Beauty,2019,(11):1-2.
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 皮肤软组织扩张术在头皮神经纤维瘤治疗中的应用
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年11期
页码:
1-2
栏目:
出版日期:
2019-11-05

文章信息/Info

Title:
 Application of Skin Soft Tissue Expansion in the Treatment of Scalp Neurofibroma
文章编号:
1008-6455（2019）11-0001-03
作者:
 韩钰钰; 徐 媛; 王 慜; 胡心宝; 姜会庆; 袁斯明
Author(s):
 HAN Yu-yu; XU Yuan; WANG Min; HU Xin-bao; JIANG Hui-qing; YUAN Si-ming
关键词:
 ; [关键词]神经纤维瘤; 软组织扩张术; 扩张器; 头皮; 扩张皮瓣; 创面修复; 介入栓塞
Keywords:
Key words: neurofibroma;  soft tissue expansion;  expander;  scalp;  expanded skin flap;  wound repair;  interventional embolization
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨皮肤软组织扩张术在头皮神经纤维瘤治疗中的应用效果。方法：回顾性分析2015年1月-2018年12月笔者科
室应用皮肤软组织扩张术治疗的12例头皮神经纤维瘤患者。根据肿瘤的部位和面积、二期手术皮瓣转移的方式、头皮血供分
布，在瘤体旁正常头皮内置入扩张器。定期注水扩张，至满足修复需求的容量，二期手术切除肿瘤，扩张皮瓣覆盖创面。对
于巨大的肿瘤，可多次接力扩张。结果：12例头皮神经纤维瘤患者进行15个周期的扩张治疗，二期手术后肿瘤均成功切除，
皮瓣全部成活，切口愈合良好。2例患者出现皮瓣下血肿，经穿刺抽血、加压包扎后治愈。随访1～6个月，肿瘤无原位复
发，患者外观满意。结论：对于不超过头皮面积1/2的中小面积头皮神经纤维瘤，皮肤软组织扩张术治疗能获得优良效果。

Abstract:

Abstract: Objective To investigate the application of skin soft tissue expansion in the treatment of scalp neurofibroma.
Methods A retrospective analysis was performed on twelve cases of scalp neurofibromas treated by skin and soft tissue
expandor in our department from January 2015 to December 2018. According to the location and area of the tumor, the transfer
of expanded flap in the second-stage operation, and the distribution of blood vessels in the scalp, an expandor with suitable
volume was implanted in the normal scalp adjacent to the tumor. Regular water injection was carried out for expansion until the
need of expanded skin for the repair was met. Then tumor was removed and the expanded skin flap was transferred to cover the
wound. As to giant tumors, it was feasible to employ multiple expansions. Results Twelve patients were treated with 15 cycles
of dilatation, all the tumors were successfully resected, all the flaps survived and the incision healed well after the second stage
operation. Two patients presented with subcutaneous hematoma, which was cured by puncture blood drawing and pressure
dressing. The patients were followed up for 1 to 6 months. The appearance was satisfying. Conclusion Regarding to scalp
neurofibroma with small to medium area, which does not exceed 1/2 of the scalp area, excellent results can be obtained by skin
and soft tissue expansion.

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更新日期/Last Update: 2019-12-09