[摘要]目的：探讨应用自体刃厚头皮片移植厚中厚皮片供区以抑制瘢痕增生的可行性及应用效果。方法：烧伤后全身大范围的增生性瘢痕患者24例，行功能部位的增生性瘢痕切除，应用非功能部位的大张厚中厚皮片修复，厚中厚皮片供区应用刃厚头皮片移植修复。结果：24例患者非功能部位厚中厚皮片供区经刃厚头皮片移植后，未见有明显的瘢痕增生。经随访半年至2年11例，2年以上3例，均未见有明显的瘢痕增生。头皮片供区无瘢痕形成，头发生长良好。结论：应用自体刃厚头皮片移植厚中厚皮片供区抑制瘢痕增生是一种可行的方法,值得临床推广。

    [关键词]刃厚头皮片；厚中厚皮片；供区；瘢痕增生

    [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2007)10-1358-02

    The clinical research of scalp epidermal skin graft inhibit scar hypertrophy on intermediate split thickness skin graft donor Site

    LIANG Jie,WU Hao-jun,ZHANG Wen-guang,LI Rui-jun,HAO Xin-guang

    (1.Department of Plastic Surgery, Affiliated Hospital of Guangdong Medical College,Zhanjiang 524001,Guangdong, China; 2.Department of BUrns Surgery, Affiliated Hospital of Guangdong Medical College)

    Abstract：ObjectiveTo study the clinical significance of scalp epidermal skin graft used to inhibit scar hypertrophy on intermediate split thickness skin graft donor Site. MethodsAfter the intermediate split thickness skin graft was cut to cover the wound on the recipient area, the wound on the donor Site was repaired by scalp epidermal skin graft.ResultsFrom 2000 to 2006, the technique was used in 24 patinets. scars on the donor Site were invisible or not obvious. ConclusionIt suggests that scalp epidermal skin graft could effectively inhibit scar hypertrophy on intermediate split thickness skin graft donor Site. The technique was used easily and effectly and gave a satisfactory result. ......