臀肌皮瓣修复瘫痪患者骶尾部Ⅳ期褥疮的临床应用

Clinical Application of Myocutaneous Flap to the Repair in Palsy Patients with the Ⅳ Phase Sacroccygeal Pressure Sores

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、臀中肌等肌皮瓣修复瘫痪患者骶尾部Ⅳ期褥疮30例,其中合并窦道7例。结果30例患者肌皮瓣全部成活,28例切口Ⅰ期愈合,2例肌皮瓣的边缘部分坏死,经换药治愈。30例患者经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 investigate the repairing methods for pressure sores in palsy patients complicated with the Ⅳ phase sacroccygeal pressure sores. Methods The pressure sores of 30 palsy patients complicated with the Ⅳ phase sacroccygeal pressure sores, of which 7 cases were complicated with sinus, were repaired by gluteus maximus myocutaneous flap or gluteus medius myocutaneous flap. Results The myocutaneous flaps applied in 28 palsy patients with Ⅳ phase sacroccygeal pressure sores were completely survival, only in margin of 2 flaps there were partial wound that were cured by dressing change. There was no relapse in all the cases through 6 months to 10 years follow up. Conclusion The myocutaneous flaps can be used as regular repairing methods to Ⅳ phase sacroccygeal pressure sores in palsy patients.