[1] 吴 鹏,彭京梁,刘荣朋,等. 负压创面治疗技术联合皮瓣分期修复臀股部多发Ⅳ期压疮[J].中国美容医学,2020,(12):87-89.
　 WU Peng,PENG Jing-liang,LIU Rong-peng,et al. Application of Negative Pressure Wound Therapy Combined with Skin Flap in StagedRepair of Multiple Grade Ⅳ Pressure Ulcers in Buttock and Thigh[J].Medical Aesthetics and Beauty,2020,(12):87-89.
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 负压创面治疗技术联合皮瓣分期修复臀股部多发Ⅳ期压疮
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年12期
页码:
87-89
栏目:
出版日期:
2020-12-10

文章信息/Info

Title:
 Application of Negative Pressure Wound Therapy Combined with Skin Flap in Staged
Repair of Multiple Grade Ⅳ Pressure Ulcers in Buttock and Thigh
文章编号:
1008-6455（2020）12-0087-04
作者:
 吴 鹏1; 2; 彭京梁2; 刘荣朋2; 王仁恒2
Author(s):
 WU Peng1; 2; PENG Jing-liang2; LIU Rong-peng2; WANG Ren-heng2
关键词:
 [关键词]压疮; 负压创面治疗技术; 臀部; 外科皮瓣; 创面修复
Keywords:
 Key words: pressure ulcers;  negative pressure wound therapy;  buttock;  surgical flap;  wound repair
分类号:
R622
文献标志码:
A
摘要:

[摘要]目的：总结应用负压创面治疗技术（Negative pressure wound therapy，NPWT）联合皮瓣分期修复臀股部多发Ⅳ期
压疮的临床治疗经验。方法：2010年1月-2019年6月，对35例患者分布于骶尾部、坐骨结节区、股骨粗隆区的压疮创面共82
处，在应用NPWT基础上，依据创面深度、部位及手术时机不同，采用任意皮瓣、带蒂筋膜瓣或岛状肌皮瓣进行分期手术修
复。结果：35例患者术后皮瓣全部成活。平均住院时间（28.3±7.8）d；平均术中失血量（220.3±50.8）毫升/次；平均手
术时长（2.0±0.4）h。术后随访0.5～2年，其中32例患者未出现复发，2例患者在其他部位出现压疮，1例坐骨结节区压疮
患者原位复发。结论：NPWT联合多种皮瓣分期修复多发压疮创面，使手术方式简化，单次手术时间缩短，手术创伤减小，保
障了较高的手术成功率，增加了患者的手术耐受性及治疗信心。

Abstract:

Abstract: Objective To summarize the experience of negative pressure wound therapy (NPWT) combined with skin flap in
staged repair of multiple grade Ⅳ pressure ulcers in buttock and thigh. Methods From January 2010 to June 2019, a total
of 82 pressure sore wounds in 35 patients were located in the sacral, ischium tuberosity and femoral trochanter. Based on the
application of NPWT and depending on the depth, location and surgical timing of the wounds, random flap, pedicled fascial flap
or island myocutaneous flap were used for surgical repair by stages. Results All the flap of 35 patients survived .The average
length of stay was (28.3±7.8)d. The average intraoperative blood loss was (220.3±50.8)ml/time and the average operation time
was (2.0±0.4)h. In the postoperative follow-up of 0.5-2 years, 32 patients had no recurrence, 2 patients had pressure ulcers at
other sites, and one patient had in-situ recurrence of pressure ulcers at the ischial nodule area. Conclusion NPWT combined
with multiple skin flaps was used to repair multiple pressure ulcer wounds by stages, which simplified the operation method,
shortened the time of a single operation and reduced the surgical trauma, ensured a higher surgical success rate, and increased
the patient’s surgical tolerance and treatment confidence.

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更新日期/Last Update: 2021-01-05