| 韩 力,刘金海,张建政,何红英,吴 卓,赵建文.改良双侧V-Y皮瓣治疗Ⅳ期骶尾部压疮的疗效分析[J].,2022,(11):2114-2117 |
| 改良双侧V-Y皮瓣治疗Ⅳ期骶尾部压疮的疗效分析 |
| Clinical Effect Analysis of Modified Bilateral V-Y Flap in the Treatment of Stage IV Sacrococcygeal Pressureulcers |
| 投稿时间：2022-01-08 修订日期：2022-01-31 |
| DOI：10.13241/j.cnki.pmb.2022.11.022 |
| 中文关键词: 压疮 V-Y皮瓣 愈合 皮肤裂开 |
| 英文关键词: Sacrococcygeal pressure injury V-Y flap Heal Skin dehiscence |
| 基金项目:联勤保障部队装备军内科研项目（LB20201A050008） |
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| 中文摘要: |
| 摘要 目的：探讨改良双V-Y皮瓣治疗Ⅳ期骶尾部压疮的有效性和安全性。方法：回顾性分析2015年3月-2019年3月中国人民解放军总医院第七医学中心骨科收治骶尾部压疮Ⅳ期患者28例，其中男15例，女13例，年龄49-65岁，创面面积6 cm×7 cm~8 cm×10 cm。彻底清创后设计改良双侧V-Y推移皮瓣覆盖创面并行负压封闭引流，皮瓣供区减张缝合，皮瓣面积6 cm×7 cm~8 cm×10 cm。术后观察皮瓣整体血运、温度、水肿情况及VSD引流量，定期通过门诊、微信、电话随访。结果：手术后双侧V-Y皮瓣全部成活，1例术后切口周边皮肤表皮坏死，经换药后愈合，28例患者全部获得随访，随访时间12-24个月，平均18.2个月，全部压疮缺损修复成功，无创口裂开、皮瓣淤血、水肿、感染及压疮复发。结论：改良双侧V-Y推移皮瓣是治疗Ⅳ期骶尾部压疮的一种有效治疗方法。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the clinical effect and safety of modified bilateral V-Y flap in the treatment of stage IV sacrococcygeal pressureulcers. Methods: From March 2015 to March 2019, modified bilateral V-Y flap was used to treat stage IV sacrococcygeal pressureulcers. There were 15 males and 13 females with an average age of 54 years (range, 49-65 years) with a course of more than 6 months and poor efficacy of conservative treatment. All patients were treated by operation and repaired with modified bilateral V-Y flap. The healing rate and recurrence rate of flap were observed regularly after operation. Results: All the 28 patients were followed up for 12-24 months with an average of 13.2 months. All the wounds healed in the first stage after operation. Conclusion: The modified bilateral V-Y flap is an effective treatment for stage IV sacrococcygeal pressure injury. |
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