中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2014年
6期
421-423
,共3页
压疮%脂肪筋膜瓣%修复
壓瘡%脂肪觔膜瓣%脩複
압창%지방근막판%수복
Pressure score%Adipofasical flap%Reconstruct
目的 探讨利用双侧脂肪筋膜瓣结合负压引流,治疗坐骨结节Ⅳ度压疮的临床疗效.方法 根据压疮创面情况和脂肪筋膜瓣血供丰富特点,设计创面两侧脂肪筋膜瓣,翻转重叠覆盖创面,并结合负压引流,治疗11例坐骨结节Ⅳ度压疮.结果 11例创面均一期完全愈合,经术后11～36个月随访,原手术部位无压疮复发,外观良好.结论 双侧脂肪筋膜瓣结合负压引流治疗坐骨结节Ⅳ度压疮,方法简单安全,疗效满意,值得推广.
目的 探討利用雙側脂肪觔膜瓣結閤負壓引流,治療坐骨結節Ⅳ度壓瘡的臨床療效.方法 根據壓瘡創麵情況和脂肪觔膜瓣血供豐富特點,設計創麵兩側脂肪觔膜瓣,翻轉重疊覆蓋創麵,併結閤負壓引流,治療11例坐骨結節Ⅳ度壓瘡.結果 11例創麵均一期完全愈閤,經術後11～36箇月隨訪,原手術部位無壓瘡複髮,外觀良好.結論 雙側脂肪觔膜瓣結閤負壓引流治療坐骨結節Ⅳ度壓瘡,方法簡單安全,療效滿意,值得推廣.
목적 탐토이용쌍측지방근막판결합부압인류,치료좌골결절Ⅳ도압창적림상료효.방법 근거압창창면정황화지방근막판혈공봉부특점,설계창면량측지방근막판,번전중첩복개창면,병결합부압인류,치료11례좌골결절Ⅳ도압창.결과 11례창면균일기완전유합,경술후11～36개월수방,원수술부위무압창복발,외관량호.결론 쌍측지방근막판결합부압인류치료좌골결절Ⅳ도압창,방법간단안전,료효만의,치득추엄.
Objective To report our therapeutic effect of double adipofascial turnover flaps in repairing stage Ⅳ ischial pressure scores.Methods During the period of May 2009 to February 2013,we treated 11 cases of stage Ⅳ ischial pressure scores with double adipofascial turnover flaps and proper drainage.Based on the conditions of pressure scores and abundant blood supply of adipofascial flaps,we designed two adipofascial flaps on each side of lesion.The two flaps were overlaped to cover the pressure score,following with negative pressure drainage.Results All pressure scores healed primarily.The follow-up period ranged from 11 to 36 months with satisfactory results and no recurrence.Conclusions Double adipofascial turnover flaps and proper drainage is a safe and simple method for the treatment of stage Ⅳ ischial pressure scores with satisfactory results.
