CAJ | 학술논문

目的：探讨臀部深度压疮患者应用带蒂真皮复合组织瓣修复的手术效果及其优势，为解决压疮复发提供新思路。方法：自2012年2月-2014年8月，收住院的深度臀部压疮患者38例，44处压疮创面，彻底清除创面坏死组织后，从邻位设计皮瓣去掉表皮和大部分真皮，制成真皮瓣，用带蒂真皮复合组织瓣填充创面后，再用局部皮瓣或穿支皮瓣覆盖修复压疮创面。结果：术后随访3个月～1年半，所有压疮创面愈合良好，未见复发。结论：真皮瓣具有良好的血供，抗感染能力强，填充消灭死腔的优点，利用带蒂真皮复合组织瓣填充修复压疮创面，填充效果确实可靠，局部创伤小，术后复发率低，是修复臀部压疮的理想方法。
목적：탐토둔부심도압창환자응용대체진피복합조직판수복적수술효과급기우세，위해결압창복발제공신사로。방법：자2012년2월-2014년8월，수주원적심도둔부압창환자38례，44처압창창면，철저청제창면배사조직후，종린위설계피판거도표피화대부분진피，제성진피판，용대체진피복합조직판전충창면후，재용국부피판혹천지피판복개수복압창창면。결과：술후수방3개월～1년반，소유압창창면유합량호，미견복발。결론：진피판구유량호적혈공，항감염능력강，전충소멸사강적우점，이용대체진피복합조직판전충수복압창창면，전충효과학실가고，국부창상소，술후복발솔저，시수복둔부압창적이상방법。
Objective To investigate the effects and advantages of the wound repair with pedicled complex dermal tissue flap applied to deep buttocks bedsore patients and to propose new ideas against relapse of bedsore. Methods 38 cases of patients diagnosed as deep buttocks bedsore with 44 bedsore-caused wound surfaces from February 2012 to August 2014 were admitted.After necrotic tissues of the wound surfaces were completely cleared,the flap designed from adjacent skin with epidermis and most dermis removed was made into dermal flap.The wound surfaces of bedsore were padded with pedicled complex dermal tissue flap and covered with local flap or perforator flap. Results According to postoperative follow-ups from six to eighteen months,all of the wound surfaces healed well without any relapse. Conclusion Dermal flap stands out with better blood flow,strong anti-infectious ability and padding to eliminate the dead space.It proves to be an ideal method to use pedicled complex dermal tissue flap to repair the wound surfaces of bedsore,with reliable padding effect,mild local wound and low postoperative relapse rate.