摘要皮肤软组织扩张术作为一种革命性的整形外科治疗手段,已经成为继皮片移植、皮瓣移植后整形外科三大常规技术之一.目前,扩张术广泛应用于全身多个部位各种病损的治疗,在瘢痕修复、秃发治疗、耳、鼻、乳房、阴茎等多器官再造、体表肿瘤等多个领域发挥着不可替代的作用.近些年来,扩张术的应用不断推陈出新,通过与日益涌现的新技术相结合焕发出新的活力.但是,关于扩张术并发症的防治应予以重视,扩张效率亟待提高,扩张皮肤新生机制及其微环境变化等基础研究方面仍较缺乏,需要进一步探索.该文对皮肤软组织扩张术临床应用原则、新进展及相关实验探索进行了回顾与总结,并分析了未来的发展方向.

abstractsAs a revolutionary plastic treatment, skin soft tissue expansion has become one of the three conventional techniques of plastic surgery after skin grafting and flap transplantation. At present, expansion is widely used in the treatment of various lesions in multiple parts of the body. It plays an irreplaceable role in many areas such as scar repair, alopecia treatment, ear, nose, breast, penis and other organ reconstruction and surface tumor management. In recent years, the application of expansion has been constantly evolving, and it has renewed its vitality by combining with new technologies. However, the prevention and treatment of complications of expansion should be paid more attention, the expansion efficiency needs to be improved, the basic research on the skin regeneration mechanism and micro-environment changes of expansion is still lacking, and further exploration is needed. Based on this, the clinical application principles, new progress and experimental exploration of skin soft tissue expansion were reviewed and summarized, and the possible development directions were analyzed.