用人工真皮重建伴颅骨外露的全层头皮缺损

摘要

目的:伴有颅骨外露的头皮全层缺损治疗仍然困难.笔者介绍用皮耐克(人工真皮)覆盖外露的颅骨、重建头皮的临床经验.方法:3例患者,因头皮肿瘤切除,出现颅骨外露,平均颅骨外露面积是89cm2.将颅骨外板打磨后,用人工真皮覆盖,3周后,创基肉芽组织生长良好,移植自体中厚皮.结果:3例患者,移植的中厚皮片全部成活.随访1-3个月,无皮肤破溃、水疱等.结论:人工真皮能够提供一个较厚、耐磨的颅骨组织覆盖,是一种简单有效的处理头皮全层缺损伴颅骨外露方法.%Objective We expose our early experience in three cases with artificial dermis (Pelnac) for scalp defect with skull exposure. Methods Three patients suffered full thickness defects with skull exposure.because of removing tumors in scalps.Artificial dermis,Pelnacwas used to cover exposed skull.followed by skin graft performed 3 weeks later.The average surface area of the defect was 89cm2. Results There was a full graft take on in all three cases.The follow-up was 5 weeks to 3 monthes. Satisfactory cosmetic and functional results were obtained in all patients. Conclusions In the scalp defect with exposed skull, Pelnac offers a simply procedure to reconstruct scalp.allows to obtain a thicker and more durable coverage than skin graft on the skull.