改良“阅读者”皮瓣修复骶尾部压疮的疗效  

Curative effect of modified reading-man flap on sacrococcygeal pressure sore

作　　者：阳跃 庹晓晔 崔子豪 欧阳四民 林海阳 胡景宇 胡银 李涛 赵景峰 郝岱峰 冯光 Yang Yue;Tuo Xiaoye;Cui Zihao;Ouyang Simin;Lin Haiyang;Hu Jingyu;Hu Yin;Li Tao;Zhao Jingfeng;Hao Daifeng;Feng Guang(Department of Repairative and Reconstruction Surgery,Peking University Shougang Hospital,Beijing 100043,China)

机构地区：[1]北京大学首钢医院修复重建外科,北京100144

出　　处：《中华临床医师杂志(电子版)》2024年第8期753-757,共5页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的探究改良阅读者皮瓣修复骶尾处压疮的疗效。方法2022年10月~2023年5月11位压疮患者于北京大学首钢医院接受改良阅读者皮瓣修复术,本组病例8例男性、3例女性,患者的年龄范围为36~78岁,平均年龄是56.5岁。压疮的位置位于骶尾部。压疮平均大小为12.0 cm×9.0 cm,缺损面积为10.0 cm×7.0 cm~21.0 cm×16.0 cm。结果11例皮瓣完全成活。且均达到一期愈合,质地和色泽良好。随访2~6个月,压疮无复发,瘢痕程度较轻,11例病患对手术效果均非常满意。结论改良“阅读者”皮瓣是一种适用修复骶尾部压疮创面的有效方法,血供可靠。该皮瓣手术操作简便,皮瓣成活率高。值得向临床医师推广。Objective To explore the curative effect of a modified reading-man flap on sacrococcygeal pressure sore.Methods From October 2022 to May 2023,11 patients with pressure ulcers received modified reading-man flap repair at Shougang Hospital of Peking University.There were 8 males and 3 females.The patients ranged in age from 36 to 78 years old,with an average age of 56.5 years old.All the pressure sores were located in the sacrococcygeal region.The average size of the pressure sores was 12.0 cm×9.0 cm,and the defect area ranged from 10.0 cm×7.0 cm to 21.0 cm×16.0 cm.Results All the 11 cases of skin flap survived completely,and all achieved healing,good texture,and color.After 2 to 6 months of follow-up,there was no recurrence of pressure ulcers and the degree of scar was mild.All the 11 patients were very satisfied with the operation results.Conclusion The modified reading-man flap is an effective method for repairing the wound of pressure ulcer.The operation of the flap is simple and the survival rate of the flap is high.

关 键 词：阅读者皮瓣 骶尾处压疮 疗效 

分 类 号：R622[医药卫生—整形外科]