Rubayi S, Cousins S, Valentine W A
Rancho Los Amigos Medical Center, Downey, Calif.
AORN J. 1990 Jul;52(1):40-7, 50, 52-5. doi: 10.1016/s0001-2092(07)67284-6.
Surgical treatment of pressure ulcers using the myocutaneous flap procedure is a relatively new approach for patients with spinal injuries. First, the pressure ulcers are treated conservatively; however, if they become large or infected, surgery is considered. We have performed approximately 1,500 of these surgeries in the past five years. Only 5% of the cases have developed complications. The primary complication experienced was small wound dehiscence, which we attributed to mechanical interference with wound healing. We attribute the overall success of these surgeries to the rigid protocol and interdisciplinary approach to management.
采用肌皮瓣手术治疗压疮对脊髓损伤患者来说是一种相对较新的方法。首先，对压疮进行保守治疗；然而，如果压疮变大或感染，则考虑进行手术。在过去五年中，我们已经进行了大约1500例此类手术。只有5%的病例出现了并发症。主要出现的并发症是小伤口裂开，我们认为这是由于对伤口愈合的机械干扰所致。我们将这些手术的总体成功归因于严格的方案和跨学科的管理方法。
