[1]周 靳,彭友林,王 强,等.个性化皮瓣修复臀骶周围深度压疮疗效观察[J].中国美容医学,2023,(6):35-38.[doi:10.15909/j.cnki.cn61-1347/r.005728]
　ZHOU Jin,PENG Youlin,WANG Qiang,et al.Observation on the Curative Effect of Personalized Skin Flap for Repairing Deep Pressure Sore Around Gluteal Sacrum[J].Medical Aesthetics and Beauty,2023,(6):35-38.[doi:10.15909/j.cnki.cn61-1347/r.005728]
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个性化皮瓣修复臀骶周围深度压疮疗效观察()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年6期
页码:
35-38
栏目:
出版日期:
2023-06-10

文章信息/Info

Title:
Observation on the Curative Effect of Personalized Skin Flap for Repairing Deep Pressure Sore Around Gluteal Sacrum
文章编号:
1008-6455(2023)06-0035-03
作者:
周 靳; 彭友林; 王 强; 陈婧颖
(孝感市中心医院烧伤整形外科 湖北 孝感 432000 )
Author(s):
ZHOU Jin; PENG Youlin; WANG Qiang; CHEN Jingying
(Department of Burn and Plastic Surgery,Xiaogan Central Hospital,Xiaogan 432000,Hubei,China)
关键词:
臀骶部; 深度压疮; 皮瓣修复术; 供区; 疗效
Keywords:
gluteal sacrum;  deep decubitus;  fl ap repair;  donor site;  curative eff ect
分类号:
R622
DOI:
10.15909/j.cnki.cn61-1347/r.005728
文献标志码:
A
摘要:
目的：探讨个性化皮瓣修复臀骶周围深度压疮的临床疗效。方法：选择2017年6月-2020年6月笔者医院收治的68例臀 骶周围深度压疮患者为研究对象，根据患者创面情况分别采用旋股外侧动脉降支带蒂皮瓣、臀部自由穿支螺旋桨皮瓣及臀下 动脉股后皮支复合组织瓣等手术方法修复臀骶周围深度压疮，观察患者疗效。结果：本组68例患者，其中行臀部自由穿支 螺旋皮瓣修复32例；旋股外侧动脉降支带蒂（肌）皮瓣修复18例；臀下动脉股后皮支复合组织瓣修复14例；任意皮瓣修复4 例。术后皮瓣一期愈合64例，延期愈合4例，其中1例高位截瘫患者患肢痉挛性瘫痪导致皮瓣裂开，经换药后愈合，其他3例 皮瓣下淤血伴感染，经再次手术后愈合。术后随访6～12个月，所有患者皮瓣色泽、张力均正常，且耐磨耐压，患者对外观 效果均较满意。结论：对臀骶周围深度压疮创面采用个性化皮瓣手术修复治疗，皮瓣血运良好，成活率高，创面修复效果 好，对臀骶部外形功能影响小，患者满意率高。
Abstract:
Objective To investigate the clinical effi cacy of personalized fl aps for repairing deep pressure ulcers around the gluteal sacrum. Methods 68 patients with deep pressure sores around the gluteus sacral were selected from the author’s hospital from June 2017 to June 2020 as the research objects. According to the wound conditions of the patients, the fl ap with the pedicle of the descending branch of the lateral circumfl ex femoral artery, the propeller fl ap of the free perforating branch of the buttock and the composite tissue fl ap of the posterior cutaneous branch of the inferior gluteus artery were used to repair the deep pressure sores around the gluteus sacral. Results In this group of 68 patients, 32 of them were repaired with hip free perforator spiral fl ap. Repair of fl ap with pedicle (muscle) in descending branch of lateral circumfl ex femoral artery in 18 cases; Inferior gluteal artery femoral posterior cutaneous branch composite fl ap repair in 14 cases; 4 cases were repaired with arbitrary skin fl ap. The fl ap healed in one stage after operation in 64 cases. There were 4 cases of delayed healing, among which 1 case of high paraplegia suff ered spasmodic paralysis resulting in fl ap split and healed after dressing change, and the other 3 cases of subcutaneous congestion with infection healed after reoperation. All the patients were followed up for 6-12 months after operation. The skin fl ap color and tension were normal, and the skin fl ap was wear resistant and pressure resistant. Conclusion The surgical treatment of deep pressure ulcer around the gluteus sacral area with personalized skin fl ap showed good blood fl ow, high survival rate, good wound repair eff ect, little impact on the shape and function of the gluteus sacral area, and high patient satisfaction rate.
更新日期/Last Update: 2023-07-04