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目的:探讨联合应用持续封闭负压引流(vacuum sealing drainage,VSD)及多种皮瓣修复臀部深度压疮的临床治疗效果。方法:选取本科室2013-01~2016-01收治的35例臀部深度压疮患者,行充分术前准备,首次手术彻底清创并保留VSD装置,二次手术根据患者情况选择合适皮瓣封闭创面,并做好术后护理工作。结果:35例患者术后均Ⅰ期愈合,随访3~18个月,所有患者压疮创面愈合良好,无复发。结论:联合应用VSD技术及多种皮瓣可有效修复臀部深度压疮,明显缩短疗程,术后复发率低,是治疗此类患者的理想方法。
Objective: To investigate the clinical effect of continuous closed vacuum drainage drainage (VSD) and multiple skin flaps in the repair of deep pressure ulcers in the buttocks. Methods: Thirty-five patients with hip pressure ulcer treated in our hospital from January 2013 to January 2016 were enrolled in this study. The patients were adequately preoperatively prepared, the first debridement was performed with complete debridement and the VSD was preserved. The second flap was used to seal the wounds according to the patient's condition , And good postoperative care work. Results: All the 35 patients healed by first intention and followed up for 3 to 18 months. All the wounds of pressure ulcer healed well without recurrence. Conclusion: The combined application of VSD technique and multiple flaps can effectively repair deep pressure ulcers in the buttocks, which significantly shortens the course of treatment and has a low recurrence rate. It is an ideal method for the treatment of such patients.