负压封闭引流结合对偶皮瓣修复骶部巨大压疮17例体会 |
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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). |
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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 |
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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 |
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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.
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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 |
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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. |
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Keywords: | Pressure sore Vacuum sealing drainage Surgical flaps Sacral |
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