目的 探讨应用头皮作为供区的大张中厚皮片修复创面的疗效.方法 回顾性分析2006年1月至2016年1月,应用头皮中厚皮片修复的整形或烧伤创面患者27例.所有创面均分布于四肢和躯干.创面面积约(5 cm×9 cm)~(17 cm×21 cm).皮片厚度0.30~0.4 mm.结果 所有移植皮片绝大部分成活,皮片成活后1~3个月出现挛缩,6~12个月皮片舒展变平,外观良好.头皮供区10~14 d愈合,毛发生长正常,无瘢痕形成.结论 以头皮为供区的大张中厚皮片移植,是创面修复的良好选择,可避免供皮区永久损伤,值得推广应用.

Objective To explore the clinical effects of the split-thickness skin graft from scalp in wound repair. Methods From January 2006 to January 2016, 27 patients received wound repair by the split-thickness skin graft from scalp. All of the wounds were located in the extremities and trunk. The size of the wounds ranged from 5 cm×9 cm to 17 cm× 21 cm. The thickness of skin graft ranged from 0.30 mm to 0.4 mm. Results Most of the skin grafts survived very well. The skin graft started to contract 1 to 3 months after transplantation, and became flat again 6 months to 1 year after transplantation with good appearance. The donor site in scalp healed in 10 to 14 days, and the hair growth was normal without scar. Conclusion Split-thickness skin graft from scalp is a good choice for the wound repair, which avoids the permanent injury on donor site, and is worthy of clinic application.