中华烧伤杂志
中華燒傷雜誌
중화소상잡지
16
2012年
1期
57-59
,共3页
海恒林%申传安%柴家科%李华涛
海恆林%申傳安%柴傢科%李華濤
해항림%신전안%시가과%리화도
修复外科手术%股二头肌长头肌瓣%股后筋膜皮瓣%坐骨结节%压疮
脩複外科手術%股二頭肌長頭肌瓣%股後觔膜皮瓣%坐骨結節%壓瘡
수복외과수술%고이두기장두기판%고후근막피판%좌골결절%압창
Reconstructive surgical procedures%Long head of biceps femoris muscle flap%Posterior thigh fasciocutaneous flap%Ischial tuberosity%Pressure sore
目的 观察应用股二头肌长头肌瓣联合半V形股后筋膜皮瓣修复坐骨结节压疮的临床疗效. 方法 选择2004年4月-2010年6月2家笔者单位收治的坐骨结节深度压疮患者8例共10处创面,压疮范围2cm×2 cm～6 cm ×4cm.设计股二头肌长头肌瓣和半V形股后筋膜皮瓣进行修复,其中股后筋膜皮瓣大小为10 cm ×6 cm ～13 cm×8 cm.统计术后皮瓣成活情况,并进行远期随访. 结果 术后皮瓣全部成活,其中9处压疮切口术后顺利愈合；1处因皮瓣下积液引流部位形成窦道,经换药治疗于术后25 d愈合.随访7～34个月,7例患者的皮瓣质地柔软,外形良好,无破溃；1例患者术后9个月压疮复发,再次利用该皮瓣修复得以愈合. 结论 该联合皮瓣手术操作简单、损伤小、抗压效果好、可重复利用,是修复坐骨结节压疮的一种新方法.
目的 觀察應用股二頭肌長頭肌瓣聯閤半V形股後觔膜皮瓣脩複坐骨結節壓瘡的臨床療效. 方法 選擇2004年4月-2010年6月2傢筆者單位收治的坐骨結節深度壓瘡患者8例共10處創麵,壓瘡範圍2cm×2 cm～6 cm ×4cm.設計股二頭肌長頭肌瓣和半V形股後觔膜皮瓣進行脩複,其中股後觔膜皮瓣大小為10 cm ×6 cm ～13 cm×8 cm.統計術後皮瓣成活情況,併進行遠期隨訪. 結果 術後皮瓣全部成活,其中9處壓瘡切口術後順利愈閤；1處因皮瓣下積液引流部位形成竇道,經換藥治療于術後25 d愈閤.隨訪7～34箇月,7例患者的皮瓣質地柔軟,外形良好,無破潰；1例患者術後9箇月壓瘡複髮,再次利用該皮瓣脩複得以愈閤. 結論 該聯閤皮瓣手術操作簡單、損傷小、抗壓效果好、可重複利用,是脩複坐骨結節壓瘡的一種新方法.
목적 관찰응용고이두기장두기판연합반V형고후근막피판수복좌골결절압창적림상료효. 방법 선택2004년4월-2010년6월2가필자단위수치적좌골결절심도압창환자8례공10처창면,압창범위2cm×2 cm～6 cm ×4cm.설계고이두기장두기판화반V형고후근막피판진행수복,기중고후근막피판대소위10 cm ×6 cm ～13 cm×8 cm.통계술후피판성활정황,병진행원기수방. 결과 술후피판전부성활,기중9처압창절구술후순리유합；1처인피판하적액인류부위형성두도,경환약치료우술후25 d유합.수방7～34개월,7례환자적피판질지유연,외형량호,무파궤；1례환자술후9개월압창복발,재차이용해피판수복득이유합. 결론 해연합피판수술조작간단、손상소、항압효과호、가중복이용,시수복좌골결절압창적일충신방법.
Objective To explore the clinical effect of transplantation of the long head of biceps femoris muscle flap in combination with semi-V posterior thigh fasciocutaneous flap for repair of pressure sores over ischial tuberosity. Methods Eight patients with 10 deep pressure sores over ischial tuberosity were admitted to the First Affiliated Hospital to the PLA General Hospital and the 98th Hospital of PLA from April 2004 to June 2010.The wounds measured from 2 cm × 2 cm to 6 cm ×4 cm were covered with the long head of biceps femoris muscle flap and semi-V posterior thigh fasciocutaneous flap(ranged from 10 cm ×6 cm to 13 cm × 8 cm).The condition of flaps was observed and followed up for a long time. Results All flaps survived.Nine wounds healed by first intention.Subcutaneous accumulation of fluids occurred in one wound with formation of a sinus at drainage site,and it healed after dressing change for 25 days.Patients were followed up for 7 to 34 months.Sore recurred in one patient 9 months after surgery,and it was successfully repaired with the same flap for the second time.Flaps in the other 7 patients appeared satisfactory with soft texture and without ulceration. Conclusions This combined flap is easy in formation and transfer,and it causes little side injury with good resistance against pressure.It is a new method for repair of pressure sore over sacral region.
