封闭式负压吸引结合臀上动脉穿支皮瓣修复骶尾部压疮的临床应用

Clinical effects of vacuum sealing drainage combined with superior gluteal artery perforator flap transplantation in the treatment of sacrococcygeal pressure sores

目的探讨应用封闭式负压吸引结合臀上动脉穿支皮瓣修复骶尾部压疮创面的临床效果。方法 2014年1月—2017年1月本院收治的18例骶尾部压疮患者,均一期采用封闭式负压吸引控制创面感染,改善创面条件,二期行臀上动脉穿支皮瓣修复压疮创面。结果 18例皮瓣全部存活,创面完全封闭,13例供区行游离皮片移植,5例直接拉拢缝合,均愈合良好。随访3个月至2年,皮瓣存活良好,压疮无复发,外形与邻近组织相近。结论封闭式负压吸引结合臀上动脉穿支皮瓣修复骶尾部压疮创面具有操作简便、并发症少、成功率高、可明显缩短病程等优点,是治疗骶尾部压疮较好方法。

Objective To investigate the clinical effects of applying superior gluteal artery perforator flap combined with vacuum sealing drainage in repairing sacrococcygeal pressure sores.Methods From January 2014 to January 2017,18 patients with sacrococcygeal pressure sores were enrolled in this study.They adopted vacuum sealing drainage to control infection in the stage one.Then superior gluteal artery perforator flap was used for repairing in the stage two.Results The skin flap was alive in all the 18 cases of patients,the wounds were closed completely.13 cases of autologous free skin graft,and 5 cases of direct closure suture.All patients were followed up for 3 months to 2 years,flap surival is good,no regional recurrence,the performance of flap was similar to adjacent tissue.Conclusions Vacuum sealing drainage combine with superior gluteal artery perforator flap for repairing sacrococcygeal pressure sores has the features of easy to operation,fewer complications,a high success rate,significantly shorten the course of disease.It is an ideal method to repair sacral tail bedsore.