Zhou S, Chang T S, Guan W X, Chen K X, Wang S L, Cao Y L, Huang W Y
Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, China.
J Reconstr Microsurg. 1993 Mar;9(2):121-5; discussion 125-9. doi: 10.1055/s-2007-1006660.
This article reports the successful microsurgical replantation of six scalps avulsed for over 3 to 11 hr, after trauma and before repair, including five total and one partial avulsion. The authors believe that one key to successful replantation is effective vessel anastomoses. In the reported series, three scalps were reconstructed with two superficial temporal vessels and in five cases, with a 1:1 ratio between arteries and veins. The partially avulsed scalp was replanted successfully with only one artery and one vein. The management of postoperative complications is discussed.
本文报道了6例创伤后3至11小时以上、修复前头皮撕脱伤的显微外科再植成功病例，其中包括5例完全撕脱和1例部分撕脱。作者认为成功再植的一个关键是有效的血管吻合。在所报道的病例系列中，3例头皮用两条颞浅血管重建，5例动脉与静脉比例为1:1。部分撕脱的头皮仅用一条动脉和一条静脉成功再植。文中还讨论了术后并发症的处理。
