皮瓣转移联合负压创面治疗技术一期修复复杂压疮创面  

Clinical Effect of One-stage Repair of Complex Pressure Ulcer with Skin Flap Transfer Combined with Negative Pressure Wound Therapy

作　　者：姜金珠 王少根 丁云林 王仁坤 JIANG Jinzhu;WANG Shaogen;DING Yunlin;WANG Renkun(Department of Burn Plastic Surgery,Binhu Hospital of Hefei,Hefei 230000,Anhui,China)

机构地区：[1]合肥市滨湖医院烧伤整形科,安徽合肥230000

出　　处：《中国美容医学》2022年第9期18-22,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨皮瓣转移联合负压创面治疗技术一期修复复杂压疮创面的临床效果。方法:选取2017年1月-2019年12月医院收治的复杂压疮患者65例,采用随机数表法分为对照组(32例)和观察组(33例),对照组一期行清创、负压创面治疗技术,待创面情况改善后再行二期皮瓣转移修复;观察组一期行皮瓣转移联合负压创面治疗技术修复。术后随访1年,对比两组患者皮瓣愈合优良率、皮瓣愈合时间、术后住院时间、总住院时间、住院费用、照顾者负担[照顾者负担量表(Zarit burden interview,ZBI)]评分、生活质量[健康调查简表(Short form 36 questionnaire,SF-36)]评分、术后并发症及复发情况。结果:两组皮瓣愈合优良率、皮瓣愈合时间、术后住院时间、SF-36评分、术后并发症发生率及复发率比较差异均无统计学意义(P>0.05);观察组总住院时间、住院费用及治疗后ZBI评分均显著低于对照组,差异有统计学意义(P<0.05)。结论:皮瓣转移联合负压创面治疗技术一期修复复杂压疮创面临床效果显著、安全可靠,可明显改善患者生活质量,减轻照顾者负担和经济负担、缩短总住院时间,且不会增加术后并发症及复发风险。Objective To explore the clinical effect of skin flap transfer combined with negative pressure wound therapy in repairing complex pressure ulcers.Methods A total of 65 patients with complex pressure ulcers in our hospital from January 2017 to December 2019 were selected.They were divided into the control group (32 cases) and the observation group (33 cases) by random number table method.The patients in the control group underwent surgical debridement combined with negative pressure wound therapy in the first phase.After the wound condition was improved,second-stage skin flap transfer was performed to repair the pressure ulcer wound.The observation group underwent skin flap transfer combined with negative pressure wound therapy to repair pressure ulcer wounds.After one year of follow-up,the excellent rate of flap healing,flap healing time,postoperative hospital stay,total hospital stay,hospital cost,ZBI score,SF-36 score,postoperative complications rate and recurrence rate were compared between the two groups.Results There were no statistically significant difference in the excellent rate of flap healing,flap healing time,postoperative hospital stay,SF-36 score,postoperative complications rate and recurrence rate between the two groups (P>0.05).The total hospitalization time,hospitalization cost and ZBI score after treatment of the observation group were significantly lower than those of the control group,the differences were statistically significant (P<0.05).Conclusion The one-stage repair of complex pressure ulcer wounds with skin flap transfer combined with negative pressure wound therapy has obvious clinical effect,which can reduce the burden of caregivers,shorten the length of hospital stay and reduce the cost of hospitalization,and will not increase postoperative complications and pressure ulcer recurrence.

关 键 词：压疮 皮瓣转移 负压创面治疗技术 一期修复 清创 创面修复 生活质量 

分 类 号：R622[医药卫生—整形外科]