阔筋膜和转移皮瓣在颅脑组织缺损修复中的应用

查炜光; 许明火; 张立志

doi:10.13201/j.issn.1001-1781.2013.21.002

阔筋膜和转移皮瓣在颅脑组织缺损修复中的应用

- 1 解放军总医院第一附属医院神经外科(北京, 100048);
- 2 解放军总医院第一附属医院整形外科

详细信息

通讯作者: 查炜光,E-mail:zhawg@sohu.com

中图分类号: R651

收稿日期: 2013-01-07

Reparation and restitution of head tissue deletion with fascia lata and local flap

- 1 Department of Neurosurgery, the First Affiliated Hospital of General Hospital of PLA, Beijing, 100048, China;
- 2 Department of Plastic Surgery, the First Affiliated Hospital of General Hospital of PLA

More Information

Corresponding author: ZHA Weiguang, E-mail: zhawg@sohu.com

Received Date: 07 January 2013

摘要

摘要: 目的:探讨阔筋膜修补硬脑膜和局部转移皮瓣在颅脑组织缺损修复重建中的应用效果。方法:8例头皮鳞癌侵犯颅骨、硬膜及脑内的患者,切除侵犯的头皮颅骨及硬膜后,组织缺损较大,采取自体阔筋膜修补硬脑膜,局部转移皮瓣修复皮肤缺损,皮瓣供区游离中厚皮片修复。结果:术后2周8例转移皮瓣100%存活,游离植皮区皮肤85%~100%存活,经换药治疗2周均修复。无伤口及颅内感染、无脑脊液瘘。结论:针对头皮鳞癌手术后造成的皮肤颅骨及硬膜缺损,采用自体阔筋膜修补硬膜,局部转移皮瓣和游离皮片移植技术可取得较好的疗效,提高患者生活质量。
- 阔筋膜 /
- 皮瓣
Abstract: Objective: To explore the effect of reparation and restitution of head tissue deletion with autologous fascia lata and local flap.Method: The clinical data of 8 cases with scalp squamous celled carcinoma from 2003 to 2010 were summarized retrospectively. All patients' carcinoma were removed almost, cerebral dura mater deletion and skin deletion from 5cm to 15 cm, repaired cerebral dura mater with autologou fascia lata;and restitution scalp with local flap, the area of local flap were planted with free skin graft.Result: The outcomes of the treatment with fascia lata were very well, and the local flap of all cases were survival the free skin graft were survival from 85% to 100%.There was no leakage of cerebrospinal fluid or intracranial infection during follow-up.Conclusion: The method of repairation and reconstruction of head tissue deletion with fascia lata and local flap is effective, the outcomes are satisfying.
- fascia lata /
- local flap

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参考文献(11)

[1]	陈振军.硬脑膜替代材料的研究与应用[J].中国组织工程研究与临床康复,2008,12(14):2697-2700.
[2]	董丽,陈学英,张育敏,等.同种阔筋膜临床应用研究进展[J].中国修复重建外科杂志,2012,26(7):880-884.
[3]	YAMADA K, MIYAMOTO S, TAKAYAMA M, et al. Clinical application of a new bioabsorbable artificial dura mater[J]. J Neurosurgery,2002,96:731-735.
[4]	FILIPPI R,SCHWARZ M, VOTH D, et al. Bovine pericardium for dura plasty:clinical results in 32 patients[J].Neurosurg Rev, 2001,24:103-107.
[5]	JANG Y J,WANG J H,SINHA V. Autoplast-processed fascia lata for dorsal augmentation in rhinoplasty[J].Otolaryngol Head Neck Surg,2007,137:88-92.
[6]	许光跃,蒋纯志,王黎明,等.自体阔筋膜在跟腱修复术中的应用[J].中国骨与关节损伤杂志,2010,25(11):1053-1054.
[7]	冉启山,王飞,耿世经,等.自体筋膜修补硬脑膜的临床应用[J].中国现代医生,2008,46(19):63-65.
[8]	刘占军,刘汉东.阔筋膜减张缝合硬脑膜结合早期钛网修补颅骨缺损的体会[J].中国临床神经外科杂志,2012,17(6):366-368.
[9]	李文,陈哲,雷晓旭,等.颏下皮瓣修复头颈部恶性肿瘤术后缺损29例[J].临床耳鼻咽喉头颈外科杂志,2010,24(7):323-324.
[10]	王忠信,李森恺,陈树廷,等.阔筋膜张肌肌皮瓣的解剖研究与临床应用[J].中华整形外科杂志,2000,16(1):12-13.
[11]	李连贺,马桂琴,冯秀玲,等.胸锁乳突肌皮瓣和胸三角皮瓣联合修复咽瘘的临床研究[J].临床耳鼻咽喉头颈外科杂志,2011,25(18):851-852.