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皮瓣和肌皮瓣移植加创面灌洗修复截瘫后多发性压疮

王浩 张普柱

中国组织工程研究2012,Vol.16Issue(5):935-938,4.
中国组织工程研究2012,Vol.16Issue(5):935-938,4.DOI:10.3969/j.issn.1673-8225.2012.05.041

皮瓣和肌皮瓣移植加创面灌洗修复截瘫后多发性压疮

Flap and musculocutaneous flap grafting plus irrigation for the repair of multiple decubitus ulcers after paraplegia

王浩 1张普柱1

作者信息

  • 1. 北京积水潭医院烧伤整形科,北京市,100035
  • 折叠

摘要

Abstract

BACKGROUND:Decubitus ulcer is a common complication in paraplegia patients. Severe decubitus ulcer is difficult to cure by conservative therapies.OBJECTIVE: To explore the therapeutic efficacy of flap and musculocutaneous flap grafting plus irrigation in the repair of multipledecubitus ulcers after paraplegiaMETHODS: A total of 16 paraplegia patients with multiple decubitus ulcers who received medical service in the Department ofBurn and Plastic Surgery of Beijing Jishuitan Hospital from January 2007 to December 2010 were included. All cases werecombined with differe nt degrees of bone destruction. Surgery involved wound debridement and bone scraps, sequestrum, scarsand infected granulation tissues were removed. Then the wound surfaces were covered by flap or musculocutaneous flap. Thewounds were irrigated after operation.RESULTS AND CONCLUSION: Wounds in all 16 cases healed by first intention. No recurrence was found in the 3rd monthfollow-up after patients leaving the hospital. Flap and musculocutaneous flap grafting plus irrigation is effective to cure themultiple decubitus ulcers after paraplegia.

关键词

皮瓣/肌皮瓣/创面灌洗/截瘫/压疮

分类

医药卫生

引用本文复制引用

王浩,张普柱..皮瓣和肌皮瓣移植加创面灌洗修复截瘫后多发性压疮[J].中国组织工程研究,2012,16(5):935-938,4.

中国组织工程研究

OACSCDCSTPCD

2095-4344

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