携带感觉神经岛状穿支皮瓣修复褥疮的疗效观察_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

黄小进 ¹ ,  王忠堂 ² , 杨家森 ³ , 李健宁 ⁴

1. ;
2. ;
3. ;
4. ;

Corresponding author：

王忠堂, Email: wangkingking@hotmail.com

Keywords：

褥疮; 岛状穿支皮瓣; 皮神经; 创面修复

DOI：

10.7507/1002-1892.20140057

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目的总结携带感觉神经岛状穿支皮瓣修复褥疮的疗效。方法 2006年3月－2011年3月，采用携带感觉神经岛状穿支皮瓣修复16例（17处）褥疮。男6例，女10例；年龄20～87岁，平均62.2岁。病程3.5个月～6年，中位病程12个月。褥疮部位：骶尾部11处，坐骨结节4处，大转子2处。创面范围4 cm×4 cm～14 cm×8 cm。术中切取皮瓣范围6.0 cm×4.5 cm～12.0 cm×9.0 cm。供区直接拉拢缝合。结果术后15个皮瓣顺利成活，创面Ⅰ期愈合；2个皮瓣发生远端局部坏死，经清创、换药后愈合。供区切口均Ⅰ期愈合。患者住院时间22～58 d，平均37 d。患者均获随访，随访时间11～46个月，平均15个月。皮瓣色泽、弹性良好。末次随访时，皮瓣感觉恢复7例，感觉迟钝5例，无感觉5例。褥疮均无复发。结论携带感觉神经岛状穿支皮瓣修复褥疮为受区的感觉恢复提供了可能。

Citation： 黄小进, 王忠堂, 杨家森, 李健宁. 携带感觉神经岛状穿支皮瓣修复褥疮的疗效观察. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(2): 261-262. doi: 10.7507/1002-1892.20140057 Copy

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携带感觉神经岛状穿支皮瓣修复褥疮的疗效观察

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