摘要
目的:探讨瘫痪患者骶尾部Ⅳ期褥疮的修复方法。方法:采用臀大肌、臀中肌等肌皮瓣转移修复瘫痪患者骶尾部Ⅳ期褥疮30例,其中合并窦道6例,扩创前创面最小为5．0×6．0cm,扩创后创面最大为6．5×8．5cm,创面平均大小为6．0×7．5cm。结果:瘫痪患者Ⅳ期褥疮及窦道30例肌皮瓣全部成活。2例肌皮瓣的边缘部分坏死,经换药治愈,本组病例经6个月～10年随访,均无复发:结论:临床可常规应用肌皮瓣转移修复瘫痪患者骶尾部Ⅳ级褥疮。
Objective： To explore a method for repairing IV degree sacroccoccygeal decubital ulcer. Method： 30 palsy patients with sacroccoccygeal decubital ulcer and 7 of them complicated by sinus were repaired with gluteal myocutaneous flap. Before debridement the smallest wound size was 5. 0 cm ×6. 0 cm, and after debridement, the largest wound size was 6. 5 cm × 8. 5 cm. The average wound size was 6. 0 cm × 7. 5 cm. Result： All the flaps survived and wounds repaired. After followed up for 6 months to 10 years, there was no recurrence. Conclusion ： Myocutaneous flap can be used as a routine method for repairing saerococcygeal decubital ulcer of palsy patients.
出处
《中国烧伤创疡杂志》
2007年第1期74-76,共3页
The Chinese Journal of Burns Wounds & Surface Ulcers
关键词
肌皮瓣
瘫痪
褥疮
Myocutaneous flap
palsy, saerococcygeal decubital ulcer
