皮肤扩张术治疗瘢痕的应用体会

皮肤扩张术治疗瘢痕的应用体会 56 ?/?1?P?? ?/?1?P??INFORIGNMDILTRTMNT 2008NO.22 CHINAFOREIGNMEDICALTREATMENT ???????B ?????dB5?x?????dB5?]??B5???d?R?????????i?.?h???????? ?],?(?????????F???1????????,?J???2?????/??????B6?r???? ???a?B?????6,?a?g?????????2?????????????2,???l???????? ?1??????????????,?T?o?a?h?????????g???????????i?0???2?h ???R???x,?J?????O???????2????????B62002??????,?C?????a ???????i?J???2?h??,????????????,?????????LB6 1?????0???? 1.1???l???? ?l????22??,37?v???i????,?y15??,??7??B6????11??50 ??B6??????????:?????????d?h??9??,???????d?h???4?o6??, ?x?????d???h???-????5??,???????????d?R???0?h?????]2??B6 37?v???i?????/,?t??8?v,??????14?v,????11?v,??????4?vB6 ?R???h??????30??280cm2 B6???v???i??????50??600mLB6 1.2???J???? ???J?O?x?d?],n??]???J???????i??,?p???h?????????????2 ????????????????????,?M?????i???-?8B5??????????,???J?R ?????l?????h???????????g?????DB6?a???LB5???????LB5???? ?????1?????????L[1] ?????O??,?I?????-?????i??0.5??1cm,?O ?????.?0?a?????t???I????????????5min,???????I?(?S????, ?O?????????t?????3?8?????i???a??????????,???N???1??,?R ???O???m?G,?m?G?????a???-???????????i??,?????????1?x?t, ?a???????????]???,????1?p,?J?072h?????P???-??????????B6 ?J?/?C???i???????N?????i??????10%???????]?O???tB6?J?0 10??12d???????????t,???????a?g?????i??,4??6d???t1?n,?? ?n??10%??15%???i??????,???????????a???]???i[2] ??,???o?? ?t1?n,???n??8%??10%???i??????B6n??]???J?x???i????????, ?a???B???]???i?????0,?????R?????????i??,?????O???????? ??,???????O????????,?H??????,?p???????-?8??????,?????1 ???O?R???h??????,?4???a???i????????B6 2???? ?l??22?????i???L???????o,???????????????],???i???? ?????????h?????n?-?R??,?????????.?PB6?J?0????6?v?G??2 ??,????????B5?a?BB5?????O?I???]???0???????g?x?????S,?R ???G?G?N?h??????,???2?x?1??????,???????gB6 ???????????F,?y?-,??,???????d?0?h?????]?4?o??, ???????i?J?????h???????a???9 ?i???????R?????????J?? (?????5?????6???e?P???1??????????215006) B.????BC?????????a???????i?J?????h???????????9B6???????J?O?d?]????,n??]?O??? i???????h?????????g???????????L, ?p???2?T?????O?;???a?g???1???]???i?????t???i,?????i???????????0n??]???J???????i ?????R???h??,?O???i???????????2?4??B6 ????22???h???????n?-?R??,?????????.?P,???a?BB5?????O??,?1???0????????B6????? ??a???????i?J?????h???J?????????7 ???????2????B6 B.???X??BC???????i?J?h?????]???i B.?/???O????BCR622B.???X?R???5BCAB.?????1??BC1674-0742(2008)08(a)-0156- 02 ???????????h??????????????0.3??0.5cm,?a??,??????,?????? (9??16)cm2 ,?????P??????,?????0?l3?o?a?????L?????i?????? ?J,?O?;?O450mL??600mL?O???????i???????h???d?????E???? ??,?J?012d???????]???t,??5??6?????????O???i?0?????t 1250mL,???51??2???0?a?????L???????i??,???R???h??,???i ?????????0?????????????????4??,???????0???????????????g ????,?6??????????B6?J?0???h??????,?????P??6?v?G???DB6?? ??2??,?1????????????B6 3???? ???????i?J?rRadovan[3] ?a1976?????????a?.??????,???? ???a???t??,???????]???????J???t??????,?2?????B????B6?C ???a???a???L?/???x?M?????S??????:(1)???i?????M???p???h?? ?-?8B5????B5????B5?4?o?L???????x???????M???6?????????? ???????i??,?J?????h???R?????????0?4???-?8???M?????B??, ?????M?a???-???????i??,???]????????????????[4] ;(2)?h?????? ?0???t???????????????x???21cm2 ?x???????a?t???????????? 3.0mL???i????,?a????????4.0ml???D[5] ,?M???????????2???? ???4??????,?C???a???????a?/?????h???4???0???t???a?t???? ???????l?x3.5??5hf1,?T?a???????B8??15hf1;(3)???a?6?????? ?i???????]???i?????a???g?????i???9?v????,?a?t?????????? ??,?????x??????????????????????,???a???]???i???a???]?? ?????M????ic???1im????,?o?????L,?T??????????,??????,?? ?i?-????,?A?t??,?????a?g?????i???t;(4)???i???????2???n?? ?i?????p?????J???????2???2?T???n,???????????????6?/,?? ?????:?2?A???B???i????,???????:???i?????/?X???O?A?t??, ???a???????i?????2????????????,???t???i???C???A??????B6 ???????i?J???????n???J,?/???M???t?]?????5?],???L?? ??,?2?M?2???r?9???????J?r?(,?N?O?????L????,???]?0?????? ???J???.????:(1)???J???L?/?????a???J?????p?5???????i??, ?????t??;?9???a?u??B5?u??,?????i???r?.???o???7?????f?., ?2?A???u???H?t;(2)?h???R?????a???????i?????O???i???????O ???????0,???????B???2???i?.?4???2?????n?-????,???????? ?J???2???-;(3)???t?????0????1??2???????5?]???]?A?????i ???????i??,???C???o??,?????5?]????,?:?9???????]???J???? ?2????;()???i?????????r???????E???????.,?????????R???? 1CHAEECAEAE :4224 5 ?/?1?P?? INFORIGNMDILTRTMNT?/?1?P?? 2008NO.22 CHINAFOREIGNMEDICALTREATMENT ???????B 1???O???? ???F,??,26??,??ic???02???v??im??2007??8?G30?????C ???r??B6?G??????,14??5??7/30d,???????g,??????B6???????? ?v???6?g,?t?????????x?????x????iEiE???????L??,?2?????? ??B6???F?)???M?)????,X???????v????????,??????????????, ???L?????????????a3?v?????2???:???????????a,?????????? 2.0cm??0.2cm???????a,???????0????????????,???????????F ??,?????g??,???????0????????B6?a?X?????g?????v?O??????, ???????a???v?6???????????y????,?-?F??2.5cm??0.2cm,?S?? ??????,3?????????y????,?-?F0.8cm??0.5cmB6???O????:?5?? ???/????????,???8???/?????-???v????????????????????B6?? ??????,???F??????????90???o?a?1???????X?J,???J??????,?? ?????9,?J?0?t?????A????1?G??,???0?G?????0?????1,???E?? ???/?)?M?-?8?2???????1?????y???-????????,?v?,??????,?? ?02???v??B6 2???? ?????F?J?????J?0????????,???????????.?????6??,???B?? ?????????????a,?P???????????????T???????2??B6?I?????X?J ?????????????????????2?????? ?????7???????7???n???? (1.?-?????B?P???????????P???????????????-??163453; 2.???????E?P?????l???????P?????????????????????E161000) B.????BC???F26?????02???v??,???F?)???M?)????,??????????????,???L???????????? ?a3?v?????2???:???????????a,?????F?J ?????J?0????????,???????????.?????6??,???B???????????????a,?P???????????????T? ??????2??B6 B.???X??BC???????????????????2?? B.?/???O????BCR271.14B.???X?R???5BCAB.?????1??BC1674-0742(2008)08(a)-01 57-01 ?0???M???]?????????J?)????,?i?x?J?0??????,???????F?J?0 ????????????2??????,?i?.?P???-?2??B6????????,???a?;?? ?C,???N???8?????l?2????B6??????X???0?????????2?T,???? ?x?t???P?]????????????,???????F???????????????J??????B6 ?????????J??????????????????????,???2??????B6?????????? ??????????,????????????????????????,?????M??????????,?M ???????L?????1?u?R????????,????,???????J?N?O?????????? ???M????B6 ?????????x?t???P?]?a???-?G?????X?J??,?????O???i????, ?J?0???????????a?J?)????,?????a?????????L????B6???????J ?0?2????????????,??????????????????,?e???????????????]B6 B.?f?????]BC2008-06-02 ??,?????????????????M?o??????????????,?T?????????a???i ???????????o?????0?????C[6],??????????????????;(5)???t?]?M ?a?????????t?????x?????N??,???n?????x????,?????T?????? ?2???x,?i?.?x???????-?,?????N???8?tB6 ???????i?J????????[7] ???9,?P???M????B5?]??B5????????B5 ???i????B5?3?8B5?R??????B5???i???1?e??,?????t?????????? ?J,?????i????B5?R??????B5???i???-?8?????????????M??,?? ?E?J?/???8????????,????,????????,???i?/???????d???N???? ???M????????????,?????????0?????CB6 ???????i?J???f?M???J???]??,???i?]?????1?????2?????N, ???a?????h??????,?J?????????7???????2????B6 ???I???X [1]??????,??????,???)??,??.?????????????????i???a?????d ???]????[J].?/?????????d?1??????,1988,4:247??248. []??????,???]?7,???c?0,?????]???????i???????E?????t?? ???a[J].?/?????????d?1??????,1994,10:30??33. [3]RadovanC.Breastreconstructionaftermastectomyusing thetemporaryexpander[J].PlastReconstrSurg,1982,69: 195??206. [4]?i????,??????,??????,??.???a?9?v???i?????2?-???????? ?x??[J].?/?????????d?1??????,1998,14:189??191. [5]?????1,??????,???C??,??.???????i?J?a?????1?????a???? ??[J].?/?????????d?1??????,1996,12:60??61. [6]?7????,??????,???G??.???5???i?]?????i?????i???????? ???o?????????E??[J].?/???????1??????,2002,18:302??304. [7]?????1,??.?????????????i?J???6?????0??????[J].???2?? ???1??????,1988,2:43. B.?f?????]BC2008-05-30 17CHAEECAEAE 2.