臀筋膜皮瓣旋转术与肌皮瓣治疗骶部褥疮的比较
Comparison of gluteal fasciocutaneous rotational flaps and myocutaneous flaps for the treatment of sacral sores.
作者信息
Wong T C, Ip F K
机构信息
Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road Chai Wan, Hong Kong, SAR, People's Republic of China.
出版信息
Int Orthop. 2006 Feb;30(1):64-7. doi: 10.1007/s00264-005-0031-5. Epub 2005 Dec 7.
To compare the outcomes of gluteal fasciocutaneous rotational flaps and myocutaneous flaps in the treatment of sacral sores, together with a review of surgical complications in two matched cohorts. Thirty-eight patients (18 gluteal fasciocutaneous rotational flaps and 20 myocutaneous flaps) were reviewed retrospectively at a mean follow-up of 58 weeks. The rate of healing of the sore, the sore healing time, and the incidence of surgical complications, together with rate of recurrence, were obtained by chart review. Treatment groups were matched by patient characteristics, operative time and blood loss. The rate of healing of the sore, sore healing time and complication rate were comparable in the two groups but the rate of recurrence was lower to a statistically significant extent in myocutaneous flap patients. The authors suggest that both methods are comparable, good and safe in treating sacral sores; myocutaneous flaps are more durable.
为比较臀筋膜皮瓣和肌皮瓣治疗骶部褥疮的效果，并回顾两个匹配队列中的手术并发症。对38例患者（18例臀筋膜皮瓣和20例肌皮瓣）进行回顾性研究，平均随访58周。通过查阅病历获得褥疮愈合率、褥疮愈合时间、手术并发症发生率以及复发率。治疗组根据患者特征、手术时间和失血量进行匹配。两组的褥疮愈合率、褥疮愈合时间和并发症发生率相当，但肌皮瓣患者的复发率在统计学上显著较低。作者认为两种方法在治疗骶部褥疮方面具有可比性、安全性良好；肌皮瓣更持久。
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