CAJ | 학술논문

目的观察缝匠肌肌皮瓣转移修复股骨大转子部压创的临床效果.方法利用缝匠肌肌皮瓣转移修复大转子压疮21例,男18例,女3例,年龄25～68岁,平均49岁.供区全部直接缝合,皮瓣切取面积最大为8 cm×10 cm,最小为5cm×7 cmn.结果全部肌皮瓣成活,压创均一期愈合.术后均随访1年,肌皮瓣颜色、质地好、压创未再发生.结论缝匠肌肌皮瓣血运丰富,抗感染能力强,修复大转子压疮方法可靠,转移方便,临床治疗效果好.
목적 관찰봉장기기피판전이수복고골대전자부압창적림상효과.방법 이용봉장기기피판전이수복대전자압창21례,남18례,녀3례,년령25～68세,평균49세.공구전부직접봉합,피판절취면적최대위8 cm×10 cm,최소위5cm×7 cmn.결과 전부기피판성활,압창균일기유합.술후균수방1년,기피판안색、질지호、압창미재발생.결론봉장기기피판혈운봉부,항감염능력강,수복대전자압창방법가고,전이방편,림상치료효과호.
Objective To observe the clinical effect of sartorius muscle flap on bedsore in the femur greater trochanter.Methods Twenty- one cases of bedsores in the femur greater trochanter were treated with the sartorius muscle flap,18 cases were males,and 3 cases were females.Mean age was 49 (ranging from 25- 68) year old.Donor site were all directly sewn up.The largest area of the flap was 8 cm × 10 cm,and the smallest was 5cm x7 cm.Results All the flap were survived,and all the bedsores were primary healing.Patients were followed up for 1 year,the colour and texture of the sartorius muscle flap were perfect,and the bedsore was not reccured.Conclusions The blood supply of the sartorius muscul cutaneous flap is plentiful,anti- infection ability is powerful,is reliable for the repairment of the bedsore in the greater trochanter,and transfering is convenient,effectiveness is pefect.