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The Comparison of Therapeutic Methods in Scalp Avulsion

Author: ZhangFang
Tutor: LiuLin
School: Zhengzhou University
Course: Surgery
Keywords: Scalp avulsion Treatment Compare
CLC: R651.1
Type: Master's thesis
Year: 2007
Downloads: 58
Quote: 0
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Abstract


Background and purpose of the scalp avulsion is a serious mechanical damage, and more involved in the high-speed rotation of the machine caused by the hair. Injury more serious consequences, especially whole scalp avulsion, often associated with local and systemic multiple injuries. A direct impact on the psychological and physical health of the wounded. Scalp avulsion diverse methods of treatment, the success rate of the various methods and shaping effect falls far short of orthopedic technical level requirements are also different. Scalp avulsion injuries mostly sporadic, literature, mostly case reports, to rare large sample statistical analysis. In this paper, the literature retrospective analysis, the statistical literature 31 and 275 cases, treatment principles to provide a reference to a comprehensive understanding of the incidence of scalp avulsion and treatment for scalp avulsion. For 1994-2005 all journals scalp avulsion reported that a total of 31 summary scalp avulsion injury cases, 275 cases were retrospectively analyzed: 1. Scalp avulsion statistics commonly used treatment success rate; 2. Common complications of the statistical occurrence of proportion; 3. The statistical analysis of a of scalp replantation group of vascular anastomosis artery anastomosis number, arteriovenous anastomosis proportion, superficial venous vascular grafts number; 4. Statistical analysis SPSS11.0 statistical software package, the chi-square test. 1.275 cases of scalp avulsion using a the Vascularized the scalp replantation and the anti-scalp drum cut in the skin graft replantation Methods up, a total of 26.18% and 34.91%, respectively, the success rate 80.56% and 93.75%. The chi-square test, the success rate has a significant difference. The avulsed scalp situ suture accounted for 12.00% of the total number of treatment, complete necrosis. 2. In a variety of complications, skull exposure incidence rate of 33.82%, is the most prone to complications; pinna the avulsion parts most likely to merge auricle avulsion occurrence rate of 20.73%; forehead and upper eyelid tear off the occurrence rate of 13.82% was significantly higher than the other. Scalp structure determines the scalp avulsion blood loss more prone to shock, the rate was 16.00%. 3. Vascular anastomosis, the best treatment is applied to the scalp avulsion replantation of the scalp can make the wounded to re-grow hair. If you need replantation head flap also two expansion provides conditions. Prompted by the statistical analysis, based on effective vascular anastomosis anastomosis of an artery and two artery surgery success rate difference not statistically significant; anastomosis arteriovenous ratio of 1:1 up surgical cases, accounting for 63.64%, its The success rate is significantly higher than the anastomosis arteriovenous ratio of 1:2 group. Vascular shortage should actively take the superficial veins of the blood vessel grafting, the set of rows superficial venous vascular grafting (41.67%). 4. Anti-drum cut in the skin graft replantation success rate significantly higher than the vascular anastomosis scalp replantation, but postoperative legacy lifelong alopecia, skull exposure treatment is also poor. 53.66% of the line two surgical. Conclusion 1. Scalp replantation Vascularized best prognosis, should be the preferred treatment for scalp avulsion. Scalp replantation, to ensure the effective the anastomosis unilateral superficial temporal artery, and arteriovenous ratio of at least 1:1. Anti-drum head Peel and take in the thick skin replantation is the most commonly used and the high success rate of treatment. Avoid the avulsed scalp in situ replantation suture, the success rate was zero. 2. Scalp avulsion various complications, the highest incidence of skull exposed; merger avulsion site auricle and forehead, the upper eyelid up; shock is more common complications, other complications are relatively small. 3. Skull exposure increased the number of surgery the patient should seek a repair.

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CLC: > Medicine, health > Surgery > Of surgery > Head and Neurosurgery > Brain
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