臀大肌上部肌皮瓣转移修复骶尾部压疮患者的疗效分析  

Analysis the effect of the upper muscular flap of the upper part of the buttocks and the upper muscle skin flap in the rehabilitation of the patients with the pressure ulcer in the sacral region

作　　者：王强 张艳 

机构地区：[1]乌鲁木齐市水磨沟区人民医院外科,新疆乌鲁木齐830063

出　　处：《临床医药文献电子杂志》2015年第20期4070-4070,共1页Electronic Journal of Clinical Medical Literature

摘　　要：目的 本文主要是为了分析和探讨臀大肌上部肌皮瓣转移修复骶尾部压疮患者的疗效。方法 选择2012年4月~2014年4月来我院接受治疗的25例患者作为研究对象,所有患者都以臀上动脉浅支为血管蒂的臀大肌上部肌皮瓣,并对其骶尾部压疮进行旋转修复。结果 患者在接受治疗之后,其中皮瓣实现完全成活21例,皮瓣边缘部分出现坏死现象4例,经过换药处理之后实现愈合,手术之后患者的皮瓣愈合相对稳定,能够产生良好的疗效。结论 臀大肌上部肌皮瓣对于修复患者骶尾部压疮有着显著的优势,其手术方案值得在今后的临床治疗过程中进行推广和实施。Objective The purpose of this paper is to analyze and discuss the gluteus maximus myocutaneous flap to repair the upper part of the curative effect of patients with sacrococcygeal. Methods Select 2012 April to 2014 April in our hospital treated 25 cases of patients with clinical data as the object of study, all patients with the superficial branch of superior gluteal artery upper part gluteus maximum myocutaneous flap pedicled repair, and rotate the sacrococcygeal pressure sores. Results 25 patients after treatment, including 21 cases of flap achieved completely survived, the remaining 4 cases of patients with skin flap edge part necrosis phenomenon, after dressing treatment after the realization of healing, healing of the flap after operation in patients with relatively stable, it can produce good effect. Conclusion The gluteus maximus myocutaneous flap to repair but not in patients with sacrococcygeal pressure sores has obvious advantages, the operation scheme is worth to promote and implement in the future clinical treatment process.

关 键 词：臀大肌上部肌皮瓣 骶尾部 压疮 

分 类 号：R477[医药卫生—护理学]