创面下内侧蒂臀部深筋膜皮瓣联合皮瓣下持续负压吸引修复骶尾部压疮12例

Effect of the hip deep fascia flap under the wound inside combined with continuous pressure suction under flap in repairing the pressure sores of sacrococcygeal region in 12 cases

摘要: 目的：探讨创面下内侧蒂臀部深筋膜皮瓣联合皮瓣下持续负压吸引修复骶尾部压疮的临床效果。方法：在修复骶尾部压疮时，设计以创面下方内侧为蒂的臀部深筋膜皮瓣联合皮瓣下持续负压吸引修复骶尾部压疮12例，皮瓣切取面积6 cm×5 cm～13 cm×7 cm。结果：皮瓣全部成活，其中10例切口一期愈合，2例切口延期愈合，术后患者恢复良好。结论：创面下内侧蒂臀部深筋膜皮瓣联合皮瓣下持续负压吸引修复骶尾部压疮是一种方法简单、易掌握、效果可靠的方法。

Abstract: Objective: To explore the clinical effects of the hip deep fascia flap under the wound inside combined with continuous pressure suction under flap in repairing the pressure sores of sacrococcygeal region.Methods: Twelve cases with pressure sores of sacrococcygeal region were repaired with the hip deep fascia flap under the wound inside combined with continuous pressure suction under flap,the area of flap was 6 cm×5 cm to 13 cm×7 cm.Results: All flaps were survived,the primary healing of incision in 10 cases and delayed healing of incision in 2 cases were found.All cases recovered well after the operation.Conclusions: The hip deep fascia flap under the wound inside combined with continuous pressure suction under flap in repairing the pressure sores of sacrococcygeal region is simple,good and easy to master.