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find Author "海恒林" 2 results
  • PEDICLED SUPERIOR GLUTEAL ARTERY PERFORATOR BILATERAL QUADRILOBED FLAPS FOR REPAIR OF LARGE SACROCOCCYGEAL PRESSURE SORES

    Objective To investigate the effectiveness of pedicled superior gluteal artery perforator bilateral quadrilobed flaps for repairing large sacrococcygeal pressure sores. Methods Between June 2003 and August 2011, 6 paraplegia patients with large sacrococcygeal pressure sores were repaired with the pedicled superior gluteal artery perforator bilateral quadrilobed flaps. There were 2 males and 4 females with an average age of 45.6 years (range, 37-62 years). The mean disease duration was 8.4 months (range, 3-26 months). According to National Pressure Ulcer Advisory Panel (NPUAP) standard, 6 cases rated as degree IV. The size of pressure sores ranged from 15 cm × 13 cm to 18 cm × 16 cm. The size of flaps ranged from 18 cm × 14 cm to 21 cm × 15 cm. Results After operation, all flaps survived successfully. The wounds healed by first intention in 5 cases; partial dehiscence of incision occurred in 1 case, which was cured after dressing change for 26 days. Six patients were followed up 6-24 months (mean, 12.5 months). The appearance and texture of the flaps were smooth and soft with good elasticity and no ulceration. Conclusion Pedicled superior gluteal artery perforator bilateral quadrilobed flaps can repair large sacrococcygeal pressure sores. The appearance of flaps is smooth and has good compression-resistance effect.

    Release date:2016-08-31 04:07 Export PDF Favorites Scan
  • 联合肌皮瓣在坐骨结节褥疮修复中的应用

    目的 探讨联合肌皮瓣修复坐骨结节褥疮的治疗效果。方法 1998年8月~2006年5月,对22例25处坐骨结节褥疮应用联合肌皮瓣修复,其中男14例,女8例;年龄35~56岁。均为外伤损伤脊髓致瘫痪,坐骨结节褥疮右侧16例,左侧3例,双侧3例;病程3周~1年6个月。褥疮范围2 cm×2 cm~6 cm×4 cm,根据患者创口选择股二头肌长头肌瓣3 cm×9 cm~4 cm×12 cm联合臀大肌下部肌皮瓣13 cm×7 cm~15 cm×8 cm修复10处,联合股后筋膜皮瓣12 cm×7 cm~15 cm×10 cm修复15处。结果 术后22例25处坐骨结节褥疮一期修复,12~14 d拆线,皮瓣全部成活,24处切口Ⅰ期愈合;1处因皮瓣下有积液,切口引流部位形成小窦道,经换药对症治疗后25 d愈合。随访3个月~6年皮瓣质地优良,外形丰满,原手术部位未再发生褥疮。结论 应用股二头肌长头肌瓣联合臀大肌下部肌皮瓣更适合修复难治性坐骨结节褥疮;联合股后筋膜皮瓣,手术操作更简便。联合肌皮瓣修复坐骨结节褥疮手术一期完成,不需植皮,远期效果好,是一种可靠的修复方法。

    Release date:2016-09-01 09:23 Export PDF Favorites Scan
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