臀部带蒂真皮复合组织瓣在压疮修复中的临床应用价值  

Clinical value of pedicled complex dermal tissue flap in the repair of the buttocks bedsore

作　　者：黄新灵[1] 周忠志[1] 熊武[1] 陈莹莹[1] 向聪莲 杨双喜[1] 兰宏伟[1] 蔡昫 

机构地区：[1]湖南中医药大学第一附属医院烧伤整形科,湖南长沙410007

出　　处：《中国美容医学》2015年第11期14-17,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的：探讨臀部深度压疮患者应用带蒂真皮复合组织瓣修复的手术效果及其优势,为解决压疮复发提供新思路。方法：自2012年2月-2014年8月,收住院的深度臀部压疮患者38例,44处压疮创面,彻底清除创面坏死组织后,从邻位设计皮瓣去掉表皮和大部分真皮,制成真皮瓣,用带蒂真皮复合组织瓣填充创面后,再用局部皮瓣或穿支皮瓣覆盖修复压疮创面。结果：术后随访3个月-1年半,所有压疮创面愈合良好,未见复发。结论：真皮瓣具有良好的血供,抗感染能力强,填充消灭死腔的优点,利用带蒂真皮复合组织瓣填充修复压疮创面,填充效果确实可靠,局部创伤小,术后复发率低,是修复臀部压疮的理想方法。Objective To investigate the effects and advantages of the wound repair with pedicled complex dermal tissue flap applied to deep buttocks bedsore patients and to propose new ideas against relapse of bedsore. Methods 38 cases of patients diagnosed as deep buttocks bedsore with 44 bedsore- caused wound surfaces from February 2012 to August 2014 were admitted.After necrotic tissues of the wound surfaces were completely cleared,the flap designed from adjacent skin with epidermis and most dermis removed was made into dermal flap.The wound surfaces of bedsore were padded with pedicled complex dermal tissue flap and covered with local flap or perforator flap.Results According to postoperative follow-ups from six to eighteen months,all of the wound surfaces healed well without any relapse. Conclusion Dermal flap stands out with better blood flow,strong anti-infectious ability and padding to eliminate the dead space.It proves to be an ideal method to use pedicled complex dermal tissue flap to repair the wound surfaces of bedsore,with reliable padding effect,mild local wound and low postoperative relapse rate.

关 键 词：压疮 带蒂真皮瓣 创面修复 局部皮瓣 手术 

分 类 号：R622[医药卫生—整形外科]