负压封闭引流联合臀大肌V-Y肌皮瓣转移修复臀部软组织缺损  

Vacuum Sealing Drainage Combined with V-Y Myocutaneous Flap for Repair of Soft Tissue Defects in the Buttocks

作　　者：蒋鹏[1] 杨力[1] 潘圣鑫[1] 薛君荣 郭贤钊 JIANG Peng;YANG Li;PAN Sheng-xin;XUE Jun-rong;GUO Xian-zhao(Department of Burn and Plastic Surgery,the First People's Hospital of Yulin,Yulin 537000,Guangxi,China)

机构地区：[1]玉林市第一人民医院烧伤整形外科,广西玉林537000

出　　处：《中国美容医学》2018年第2期44-46,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨负压封闭引流联合臀上、下动脉穿支臀大肌V-Y肌皮瓣转移修复臀部软组织缺损的临床效果。方法:选取2014年3月-2016年3月于本院住院治疗的36例患者,采用随机数字表法分为治疗组和对照组,每组18例。治疗组采用负压封闭引流联合臀上、下动脉穿支臀大肌V-Y肌皮瓣转移修复臀部软组织缺损,对照组采用常规换药联合臀上、下动脉穿支臀大肌V-Y肌皮瓣转移修复。结果:治疗组18例患者皮瓣均完全成活,手术切口均一期愈合,供区不需植皮,皮瓣无坏死;对照组1例出现皮瓣远端部分坏死,经换药后愈合。随访6个月~2年两组均无感染复发病例。治疗组换药次数、抗生素使用天数和住院时间均显著低于对照组(P<0.05),两组住院费用比较差异无统计学意义(P>0.05)。结论:应用负压封闭引流技术联合臀上、下动脉穿支臀大肌V-Y肌皮瓣转移修复臀部软组织缺损,可减少并发症发生,提高治愈率,具有良好临床推广价值。Objective To evaluate the clinical effect of V-Y myocutaneous flap transfer combined with vacuum sealing drainage in repairing buttocks soft tissue defect.Methods From March2014to March2016,36patients were hospitalized in our hospital.The patients were divided into the treatment group and the control group by random number table method.In the treatment group,patients were treated with V-Y myocutaneous flap transfer combined with vacuum sealing drainage.The control group was treated with conventional dressing combined with V-Y myocutaneous flap transfer.Results The skin flap in the treatment group were completely survived,the incision were healed in one stage,the donor area did not need skin grafting,and the flap was not necrotic.1cases in the control group had partial necrosis of the distal part of the skin flap,and healed after dressing.Followed up for6months to2years without infection in two groups.The number of dressing,antibiotic days and hospitalization time in the treatment group were significantly lower than those in the control group(P<0.05).There was no significant difference in the cost of hospitalization between the two groups(P>0.05).Conclusion V-Y myocutaneous flap grafting with vacuum sealing drainage is used to repair the soft tissue defect of the buttocks,with the advantages of reducing the wound complications and the high cure rate,and has good clinical value.

关 键 词：负压封闭引流 软组织缺损 臀部 V-Y肌皮瓣 

分 类 号：R622[医药卫生—整形外科]