摘要
目的:探讨应用背阔肌肌皮瓣治疗脊柱胸腰段压疮的临床效果。方法:回顾性分析佛山市中医院自2005年1月～2008年1月采用背阔肌肌皮瓣治疗脊柱胸腰段压疮9例患者的资料。结果:术后9例皮瓣全部存活,其中8例创面Ⅰ期修复,1例肌皮瓣边缘坏死,肌皮瓣局部裂开,经换药及缝合后痊愈。全部患者均得到随访,经术后0.5～3.0年随访,结果显示局部皮肤外形正常,质地优良、柔软、色泽好。结论:背阔肌肌皮瓣质地良好,手术切取操作简便,成活率高,不损伤主要血管,是治疗脊柱胸腰段压疮较为理想的方法。
Objective： To explore the clinical effect of bedsore of thoracolumbar spine by latissimus dorsi myocutaneous flap. Methods： A retrospective study of the clinical data of 9 patients with bedsore of thoracolumbar spine by latissimus dorsi myocutaneous flap in Foshan tcm hospital from January 2005 to January 2008. Results： All flaps survived,8 repaired and 1 marginal necrosised and partial dehiscence, then cured after dressing change and suture. All followed-up half a year to 3 years, the results showed that normal skin appearance, texture soft. Conclusion： Application of latissimus dorsi myocutaneous flap treating thoracolumbar spine bedsore is simple and the result is reliable.
出处
《中国当代医药》
2009年第15期5-6,共2页
China Modern Medicine
关键词
背阔肌
肌皮瓣
脊柱胸腰段
压疮
Latissimus dorsi
Myocutaneous flap
Thoracolumbar spine
Bedsore
