目的 探讨负压封闭引流联合臀大肌肌皮瓣修复臀周深度创面的临床效果。方法 2012-07至2019-07武警辽宁总队医院烧伤科,采用负压封闭引流联合臀大肌肌皮瓣修复臀周深度创面35例,软组织缺损范围5 cm× 6 cm～15 cm×20 cm。入院后对患者行相应的药物治疗和营养支持,一期清创手术后实行负压封闭引流,二期采用臀大肌肌皮瓣进行修复。结果 35例皮瓣完全成活,供区愈合。术后随访3个月～2年,受区皮瓣外形美观,功能恢复满意。结论 采用负压封闭引流联合臀大肌肌皮瓣可以满意修复臀周深度创面,减少并发症发生,提高治愈率。
Abstract
Objective To investigate the clinical effect of vacuum sealing drainage combined with gluteus maximus myocutaneous flap for repair of deep wound in the buttocks.Methods From July 2012 to July 2019,35 cases of deep wound in the buttocks were treated with vacuum sealing drainage combined with gluteus maximus myocutaneous flap. The wound area ranged from 5 cm×6 cm to 15 cm×25 cm.The patients were treated with the corresponding drug treatment and nutritional support after admission,and were treated with vacuum sealing drainage after a period of debridement.The second stage was treated with gluteus maximus myocutaneous flap.Results All the flaps survived completely in 35 cases and the donor area healed. The shape and functions were satisfactory after a follow–up of 3 months to 2 years.Conclusions Vacuum sealing drainage combined with gluteus maximus myocutaneous flap can be used to repair deep wound in the buttocks,with the advantages of reducing the wound complications and the high cure rate,and it is a safe and reliable treatment method.
关键词
负压封闭引流术 /
臀大肌肌皮瓣 /
深度创面
Key words
vacuum sealing drainage /
gluteus maximus myocutaneous flap /
deep wound
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