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脊髓损伤患者盆腔区域褥疮的外科治疗

[Surgical treatment of decubitus ulcers of the pelvic area in patients with spinal cord injury].

作者信息

Jósvay János, Donáth Antal, Kertész Györgyi, Klauber András

机构信息

Központi Honvédkórház, Plasztikai Sebészet, H-1553 Budapest, Pf. 1.

出版信息

Ideggyogy Sz. 2003 Jan 20;56(1-2):58-62.

Abstract

Pressure sores in spinal cord-injured patients can be treated by either conservative or surgical methods. Shortened healing period and long lasting results can be achieved by surgery. Between 1993 and 2001 the authors performed 64 operations with musculocutaneous or musculo-fasciocutaneous flaps in all cases. All patients healed primary except one, whose 20-year-old pressure sore transformed malignant and gave metastasis. The complication rate was 21.42%, that equals with the data of the literature. Measuring the late postoperative results by follow-up questionnaire, a 9.52% ratio of recurrence was found, which was significantly smaller than data of the literature (19-82%). Authors analyse the causes of their (good) results.

摘要

脊髓损伤患者的压疮可通过保守或手术方法治疗。手术可缩短愈合期并取得持久效果。1993年至2001年期间,作者共进行了64例采用肌皮瓣或肌筋膜皮瓣的手术。除1例患者外,所有患者均一期愈合,该患者20年的压疮发生恶变并出现转移。并发症发生率为21.42%,与文献数据相当。通过随访问卷评估术后远期效果,发现复发率为9.52%,明显低于文献数据(19%-82%)。作者分析了取得(良好)效果的原因。

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