旋转联合推进臀上下穿支动脉岛状皮瓣治疗臀部褥疮的临床效果  

Effect of rotating and advancing gluteal superior and inferior perforator artery island flap on gluteal pressure sore

作　　者：杨力 潘圣鑫 蒋鹏 薛君荣 郭贤钊 Yang li;Pan Shengxin;Jiang Peng;Xue Junrong;Guo Xianzhao(Department of Burn and Plastic Surgery,the First People's Hospital of Yulin,Yulin 537000,China)

机构地区：[1]玉林市第一人医院整形烧伤外科,537000

出　　处：《中华医学美学美容杂志》2020年第1期64-66,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨利用旋转联合推进形式的臀上下穿支动脉岛状皮瓣修复臀部褥疮的临床效果。方法2014年1月至2018年4月,玉林市第一人民医院整形烧伤外科收治臀部褥疮患者37例,男27例,女10例,年龄35~79岁。所有病例均进行一次清创负压治疗,控制局部感后,根据拟修复创面与臀上、下穿支动脉穿出部位及局部软组织情况,选择相应穿支动脉为蒂,形成岛状皮瓣,以旋转及推进联合的方式转移修复创面。结果37例伤口经一次清创负压引流后局部感染均控制,二期皮瓣修复术后33例伤口均一期愈合,其中4例术后出现伤口脂肪液化局部伤口裂开,经2期清创换药后愈合,术后局部外观良好,无明显隆起畸形。所有病例均随访,最长随访时间2年,电话随访患者,局部均无褥疮复发。结论旋转联合推进形式的臀上、下穿支动脉岛状皮瓣是修复臀部褥疮一种良好方法。Objective To explore the clinical effect of gluteal pressure sore repaired by superior and inferior perforating artery island flap with rotation and joint propulsion.Methods From January 2014 to April 2018,37 patients(27 males,10 females,aged 35~79 years)with hip decubitus were admitted to the First People's Hospital of Yulin City for treatment of hip decubitus.According to the situation of the wound surface,the perforating site of superior and inferior perforator arteries and the local soft tissue,the corresponding perforator arteries were selected as the pedicle to form island skin flap,and the wound surface was transferred by rotation and propulsion.Results All the flaps survived well.33 cases healed in the first stage,but 4 cases dehisced and infected in the incision.After dressing change,the wounds healed in the second stage and the wounds were locally smooth.Conclusions The rotational combined push type gluteal superior and inferior perforator island flap is a good method to repair gluteal pressure sore.

关 键 词：修复外科手术 穿支皮瓣 褥疮 旋转联合推进 岛状皮瓣 

分 类 号：R62[医药卫生—整形外科]