文章简介

出版社:J Wound Care

作   者:Khurram MF, Khan AH, Ahmad I, Nanda M, Masoodi Z

编   号:

年   份:2013    点击量:566

文章摘要

Objective:

    To study the feasibility and reliability of the superior gluteal artery perforator (SGAP) flap for the reconstruction of sacral pressure ulcers.

目的:

    旨在研究臀上动脉穿支(SGAP)皮瓣重建骶部褥疮的可行性与可靠性。

 

Method:

    A prospective study was conducted between 2009 and 2012 where a total of 15 patients with sacral pressure ulcers underwent reconstructive surgery with an islanded pedicled SGAP flap. Success of the flap reconstruction and primary healing were defined as a healed wound within 30 days of the procedure. Reconstructive failure was defined as those cases that resulted in a non-healed wound, thereafter.

方法:

    在一项前瞻性研究中,采用岛状带蒂臀上动脉穿支(SGAP)皮瓣对2009-2012年的15例骶部褥疮患者进行重建术。伤口在30天内愈合视为重建成功与一期愈合。伤口未愈合病例视为重建失败。

 

Results:

    Of the 15 patients in the evaluation, 12 were male and 3 were female. Eleven patients were paraplegic, 3 were ambulatory and one was quadriplegic. All reconstructed flaps survived completely with no mortality or major donor site complications. Three patients had a minor infection and wound dehiscence that healed spontaneously. All wounds healed within 30 days of surgery following local wound care and culture-sensitive antibiotics. No recurrence of the pressure ulcer occurred during follow-up. The non-paraplegic patients did not develop gait disturbances following the surgery.

结果:

    评价的15例患者中,12例为男性、3例为女性。11例患者下身瘫痪,3例患者能行走,1例患者四肢瘫痪。所有重建皮瓣均成活,无皮瓣坏死,主要供区无并发症。3例患者轻微感染,且伤口裂开后自发愈合。术后给予局部伤口护理并培养敏感抗生素后,30天内伤口痊愈。随访无褥疮复发案例。正常活动患者术后未发生步态障碍。

 

Conclusion:

    These observations suggest that the islanded pedicled SGAP fasciocutaneous flap is a relatively easy flap to raise, with good reliability and minimal complications, and is therefore highly recommended for the reconstruction of the sacral pressure ulcer.

结论:

    研究表明岛状带蒂臀上动脉穿支(SGAP)筋膜皮瓣易成活、可靠性高、并发症少,因此强烈推荐采用此方法重建骶部褥疮。

 

 

由MediCool医库软件 余晓倩 编译

原文来自J Wound Care