中国美容医学2023，Vol.32Issue(12)：1-4,4.
难治性压疮修复重建的技术选择及诊疗路径探索
Optimization of Reconstruction Techniques and Exploration of Diagnosis and Treatment Pathways for Refractory Pressure Ulcers
摘要
Abstract
Objective To explore the key reconstruction techniques and the diagnosis and treatment pathways for refractory pressure ulcers treatment.Methods A total of 45 patients with refractory pressure ulcers admitted to the author's treatment group from January 2016 to June 2020 were selected as the research objects.All patients received orderly perioperative preparation,debridement,vacuum sealing lavage and other treatments according to the established diagnosis and treatment path;According to different lesion sites and defects,pressure sores were classified again;Guided by the new classification and following the principles of minimizing donor injury,simplicity and effectiveness,local flap,muscle flap and myocutaneous flap were used for treatment.The survival rate of flap,primary wound healing rate and recurrence rate of pressure ulcer were observed.On the basis of above,the key repair techniques and treatment principles of different types of pressure ulcer were summarized and put forward,and the relevant diagnosis and treatment pathways were improved.Results The survival rate of flap was 100%,the primary wound healing rate was 97.77%,all the wounds were well repaired and with good appearance and function.After 1-4 years of follow-up,no recurrence was found,and the living quality of patients were effectively improved.Conclusion Guided by standardized diagnosis and treatment pathways,the rational application of reconstruction techniques can significantly improve the clinical cure rate of refractory pressure ulcer,and it is worthy of further research and improvement.关键词
慢性创面/压疮/修复重建技术/组织瓣/诊疗路径Key words
chronic wound/pressure sore/reconstruction techniques/tissue flap/diagnosis and treatment pathway分类
医药卫生引用本文复制引用
李军,刘梦栋,朱靓,罗玉明,项杰,韩军涛..难治性压疮修复重建的技术选择及诊疗路径探索[J].中国美容医学,2023,32(12):1-4,4.基金项目
国家自然科学基金(编号:81971834) （编号:81971834）
