CAJ | 학술논문

目的：探讨重复皮肤扩张术治疗瘢痕性秃发的临床效果。方法选择本科重复接力皮肤扩张术治疗瘢痕性秃发28例，重复延期皮肤扩张术治疗瘢痕性秃发21例，对两种治疗方法的手术次数、住院时间、手术费用、麻醉次数等进行比较分析。结果接力扩张术修复瘢痕性秃发28例，修复良好26例，平均住院时间（24±6）d，平均住院费用（2.6±0.3）万元；延期皮肤扩张修复瘢痕秃发21例，修复良好20例，平均住院时间（32±4）d，平均住院费用（3.8±0.4）万元。两种治疗方式的平均住院时间及平均住院费比较差异有统计学意义（P<0.01）。结论延期皮肤扩张和接力扩张都能较好修复瘢痕性秃发，但后者技术可行，且比前者手术次数减少、住院时间减少、患者费用减少、痛苦也小。
목적：탐토중복피부확장술치료반흔성독발적림상효과。방법선택본과중복접력피부확장술치료반흔성독발28례，중복연기피부확장술치료반흔성독발21례，대량충치료방법적수술차수、주원시간、수술비용、마취차수등진행비교분석。결과접력확장술수복반흔성독발28례，수복량호26례，평균주원시간（24±6）d，평균주원비용（2.6±0.3）만원；연기피부확장수복반흔독발21례，수복량호20례，평균주원시간（32±4）d，평균주원비용（3.8±0.4）만원。량충치료방식적평균주원시간급평균주원비비교차이유통계학의의（P<0.01）。결론연기피부확장화접력확장도능교호수복반흔성독발，단후자기술가행，차비전자수술차수감소、주원시간감소、환자비용감소、통고야소。
Objective To investigate the clinical effect of repeated skin expansion technique on scarring alopecia. Methods Twenty-eight cases of scarring alopecia underwent repeated relay skin ex-pansion technique were chosen,and 21 cases of scarring alopecia underwent repeated delay skin expan-sion technique were chose. The times of operations,length of hospital stay,expenses and times of anes-thesia were compared between the two methods. Results Relay dilatation was used to repair scarring al-opecia in 28 cases,26 patients had good repairment,the average length of hospital stay was(24 ± 6)d, the average hospitalization expenses were(26 ± 3)thousand yuan. Delay skin expansion was used to re-pair scarring alopecia in 21 cases,20 cases of had good reparrment,the average length of hospital stay was(32 ± 4)d,the average hospitalization expenses were(38 ± 4)thousand yuan. There were signifi-cant differences in the average length of hospital stay and the average hospitalization expenses between the two methods( P<0 . 01 ). Conclusions Delayed skin expansion and relayed expansion both can better repair scarring alopecia,but relayed expansion is feasible,and has fewer operation times,shorter length of hospital stay,little costs and pain.