CAJ | 학술논문

目的:探讨应用背阔肌肌皮瓣治疗脊柱胸腰段压疮的临床效果.方法:回顾性分析佛山市中医院自2005年1月～2008年1月采用背阔肌肌皮瓣治疗脊柱胸腰段压疮9例患者的资料.结果:术后9例皮瓣全部存活,其中8例创面Ⅰ期修复,1例肌皮瓣边缘坏死,肌皮瓣局部裂开,经换药及缝合后痊愈.全部患者均得到随访,经术后0.5～3.0年随访,结果显示局部皮肤外形正常,质地优良、柔软、色泽好.结论:背阔肌肌皮瓣质地良好,手术切取操作简便,成活率高,不损伤主要血管,是治疗脊柱胸腰段压疮较为理想的方法.
목적:탐토응용배활기기피판치료척주흉요단압창적림상효과.방법:회고성분석불산시중의원자2005년1월～2008년1월채용배활기기피판치료척주흉요단압창9례환자적자료.결과:술후9례피판전부존활,기중8례창면Ⅰ기수복,1례기피판변연배사,기피판국부렬개,경환약급봉합후전유.전부환자균득도수방,경술후0.5～3.0년수방,결과현시국부피부외형정상,질지우량、유연、색택호.결론:배활기기피판질지량호,수술절취조작간편,성활솔고,불손상주요혈관,시치료척주흉요단압창교위이상적방법.
Objective: To explore the clinical effect of bedsore of thoracolumbar spine by latissimus dorsi myocutaneous flap. Methods: A retrospective study of the clinical data of 9 patients with bedsore of thoracolumbar spine by latissimus dorsi myocutaneous flap in Foshan tern hospital from January 2005 to January 2008. Results: All flaps survived,8 repaired and 1 marginal necrosised and partial dehiscence, then cured after dressing change and suture. All followed-up half a year to 3 years, the results showed that normal skin appearance, texture soft. Conclusion: Application of latissimus dorsi myoeu-taneous flap treating thoraeolumbar spine bedsore is simple and the result is reliable.