[1]孙勇 宋建东 王峰 王贺.太极皮瓣联合万古霉素骨水泥串珠治疗骶尾部压疮13例[J].中国中医骨伤科杂志,2022,30(03):62-64.
　SUN Yong SONG Jiandong WANG Feng WANG He.13 Cases Clinical Study on Efficacy of Tai Ji Fasciocutaneous Flap Combined with Local Vancomycin Cement Beads on the Treatment of Deep Sacral Caudal Pressure Sores[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(03):62-64.
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太极皮瓣联合万古霉素骨水泥串珠治疗骶尾部压疮13例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年03期
页码:
62-64
栏目:
临床报道
出版日期:
2022-03-15

文章信息/Info

Title:
13 Cases Clinical Study on Efficacy of Tai Ji Fasciocutaneous Flap Combined with Local Vancomycin Cement Beads on the Treatment of Deep Sacral Caudal Pressure Sores
文章编号:
1005-0205(2022)03-0062-03
作者:
孙勇1 宋建东1 王峰1 王贺1
1湖北省中西医结合医院骨科(武汉,430010)
Author(s):
SUN Yong1 SONG Jiandong1 WANG Feng1 WANG He1
1Department of Orthopeadics, Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Wuhan 430010, China.
关键词:
太极皮辨;  万古霉素骨水泥;  压疮;  骶尾部
Keywords:
Tai Ji fasciocutaneous flap;  vancomycin cement;  deep sacral caudal;  pressure sore
分类号:
R632.1
文献标志码:
B
摘要:
目的:总结治疗深度骶尾部压疮的临床经验,提高临床治疗效果。方法:回顾2018年4月至2020年11月治疗的13例NPUAP 分度Ⅲ度、Ⅳ度的骶尾部压疮病例,均采用太极皮瓣技术联合局部使用万古霉素骨水泥串珠治疗,观察创面愈合情况。结果:所有皮瓣均成活,2例接近臀沟的缝合处愈合较慢,经过换药后延迟愈合; 平均随访11个月,无复发。结论:太极皮瓣联合局部使用万古霉素骨水泥串珠治疗骶尾部压疮临床效果满意,值得临床选择使用。
Abstract:
Objective:To summary the clinical experience of the treatment of deep sacral caudal pressure sore and improve its clinical treatment efficacy.Methods:13 cases of sacral tail pressure sores with NPUAP Ⅲ, Ⅳdegree from April 2018 and November 2020 were respectively analyzed,and all of patients were treated by Tai Ji fasciocutaneous flap combined with local vancomycin cement beads.The wound healing was observed.Results:All flaps survived, and the suture close to the gluteal groove healed slowly in 2 cases, but delayed healing after dressing change, with an average follow-up of 11 months and no recurrence.Conclusion:The clinical efficacy of Tai Ji fasciocutaneous flap combined with vancomycin cement beads on the treatment of sacral caudal pressureulcers is satisfactory which is worthy of clinical selection.

参考文献/References:

[1] SIMSIC J M,DOLAN K,HOWITZ S,et al.Prevention of pressure ul-cers in a pediatric cardiac intensive care unit[J].Pediatr Qual Saf,2019,4(3):e162.
[2] KOCH M,JALYZADA K,GRUNDTNER P,et al.Treatment of the donor site of free radial flaps:vacuum sealing versus conventional wound care[J].Acta Otolaryngol,2017,137(12):1301-1306.
[3] 孙佳琳,郭鹏飞,崔正军.臀上动脉穿支接力皮瓣修复骶尾部压疮的临床效果[J].中华烧伤杂志,2020,36(8):726-729.
[4] 张欢欢,陈青芳.负压封闭引流联合湿润烧伤膏序贯治疗骶尾部Ⅲ期压疮临床分析[J].中华烧伤创疡杂志,2020,32(5):323-326.
[5] 金文虎,李海,常树森.臀上动脉穿支蒂V-Y推进皮瓣治疗骶尾部压疮的效果评价[J].中华创伤杂志,2019,35(12):1138-1141.
[6] KU I,LEE G K,YOON S,et al.A dual padding method for ischial pressure sore reconstruction with an inferior gluteal artery perforator fasciocutaneous flap and a split inferior gluteus maximus muscle flap[J].Arch Plast Surg,2019,46(5):455-461.
[7] 黄啟云,林红华.改良全臀大肌旋转肌皮瓣治疗骶尾部压疮的疗效观察[J].实用骨科杂志,2019,25(8):746-748.

更新日期/Last Update: 1900-01-01