组合式推移皮瓣修复多发性褥疮  

Combined advance flaps for treatment of multiple bedsore

作　　者：谢德[1] 谭鸿[1] 陈曦[1] 汪红[1] 

机构地区：[1]德阳市人民医院骨科,四川德阳618000

出　　处：《西部医学》2010年第9期1671-1673,共3页Medical Journal of West China

摘　　要：目的探讨组合式推移皮瓣修复骶尾、粗隆、坐骨结节多处巨大褥疮的临床方法。方法用组合式推移皮瓣修复骶尾、粗隆、坐骨结节多处巨大褥疮13例,其中骶尾部6例;股骨粗隆4例;坐骨结节3例。均为四度褥疮。手术彻底扩创后,根据创面及潜在腔隙的大小、皮瓣张力情况选择皮瓣的组合方式,将皮瓣覆盖整个创面。所有病例均获随访1～6年。结果术后皮瓣全部成活。其中2例伤口窦道形成,经二次?刮后痊愈。结论组合式推移皮瓣可修复骶尾、粗隆、坐骨结节多处褥疮,一次性消灭创面。皮瓣设计组合灵活,手术操作简单,是修复多处褥疮较大软组织缺损的一种有效方法。Objective To summarize the methods of the therapy for the multiple bedsore in sacrococcygeal region,femur trochanter and ischial tuberosity by combined advance flaps.Methods 13 cases of multiple bedsore in sacrococcygeal region,femur trochanter and ischial tuberosity were repaired by combined advance flaps.There were 6 cases in sacrococcygeal region,4 cases in femur trochanteres and 3 cases in ischial tuberosity.All of the bedsores were phase Ⅳ.The wound repair was determined by the wound conditions and tension of flap.All patients were followed up for 1 to 6 years.Result All the flaps were survived.No recurrence of bedsore was observed.There were 2 cases of sinus.All of sinuses were repaired by scraping.Conclusion Combined advance flaps could repaired multiple bedsore in sacrococcygeal region,femur trochanter and ischial tuberosity in one person to recover the wound.

关 键 词：组合式推移皮瓣 修复 多发性褥疮 

分 类 号：R622.1[医药卫生—整形外科] R632.1[医药卫生—外科学]