首页 | 本学科首页   官方微博 | 高级检索  
检索        

负压封闭引流结合对偶皮瓣修复骶部巨大压疮17例体会
引用本文:赵遵江,梁其国,薛忠信,张保德,章荣涛,刘勇,胡育栋,徐良媛,王修.负压封闭引流结合对偶皮瓣修复骶部巨大压疮17例体会[J].安徽卫生职业技术学院学报,2015(4).
作者姓名:赵遵江  梁其国  薛忠信  张保德  章荣涛  刘勇  胡育栋  徐良媛  王修
作者单位:安徽医科大学附属六安市人民医院烧伤整形外科 六安 237005
摘    要:目的:探讨负压封闭引流(VSD)结合臀部对偶筋膜皮瓣修复瘫痪患者骶部巨大压疮的临床疗效.方法:17 例骶部巨大Ⅲ~Ⅳ期压疮截瘫患者,创面缺损行负压封闭引流7~12d 后,均行臀部对偶筋膜皮瓣修复创面.结果:行负压封闭引流7~12d 后,创面均逐渐缩小,缺损处肉芽组织新鲜,为皮瓣提供良好的受区床;33 个皮瓣全部成活,1 个皮瓣的边缘部分坏死,经换药治愈.17 例患者经4~28 个月随访,均无复发,患者生活质量明显提高.结论:VSD 结合臀部对偶筋膜皮瓣是修复瘫痪患者骶部巨大Ⅲ~Ⅳ期压疮具有切取面积大、旋转角度大、不臃肿,组织相近、具有一定耐磨度、有利于防止压疮再发,同时具有缩短病程等优点.

关 键 词:压力性溃疡  负压封闭引流  外科皮瓣  骶部

Vacuum sealing drainage with dual flap reconstruction in the Repair of the large pressure sores of sacral
Abstract:Objective:To observe the effect of double leaf flap for repairing large bedsores in Ⅲ and Ⅳ phases at the sacral area as a result of paralysis patients.Methods:Seventeen paralysis patients who suffered large bedsores in Ⅲ and Ⅳ phases at the sacral area hospitalized, wound of patients was dealt with VSD for 7~12 days, then repaired with dual flap in the reconstruction of bedsore.Results:When all patients were dealt with VSD for 7~12 days,it was detected that the surface of wound reduced,granulation tissue formed,which provided a good condition for the flaps. Necrosis appeared at the edge of the one flap,and it was healed after dressing change.The other 33 flaps survived well.Seventeen patients were followed up for 4 to 28 months,and bedsore did not recur. Conclusions:VSD combine with dual flap,with characteristics of large donor area,big rotation angle,and with wear-,tear-,and pressure-resistance,is suitable for repairing large bedsores at Ⅲ and Ⅳ phases at the sacral area in paralysis patients.
Keywords:Pressure sore  Vacuum sealing drainage  Surgical flaps  Sacral
本文献已被 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号