west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "臀大肌皮瓣" 2 results
  • REPAIR OF SOFT TISSUE DEFECT CAUSED BY RESECTION OF SACRAL TUMORS

    Objective To study the therapeutic effect of combining vacuum seal ing drainage (VSD) with gluteus maximus myocutaneous flap on the repair of soft tissue defect caused by the resection of sacral tumors. Methods From June2007 to June 2008, 6 patients with skin and soft tissue necrosis in the sacrococcygeal region, deep infection, and formation of cavity at 3-6 weeks after sacral tumors resection were treated. There were 4 males and 2 females aged 17-51 years old. The size of skin and soft tissue defects ranged from 15 cm × 11 cm × 6 cm to 20 cm × 18 cm × 7 cm. Every patient underwent VSD treatment for 7-10 days, and the recombinant bovine bFGF was injected into the wound intermittently for 7-14 days (250-300 U/ cm2 once, twice daily). The wound was repaired by either the gluteus maximus myocutaneous flap (5 cases) or the lumbar-gluteus flap (1 case), and those flaps were 9 cm × 9 cm-20 cm × 18 cm in size. The donor site were sutured or repaired with spl itthickness skin graft. Results All the flaps survived uneventfully. The wound healed by first intention in 5 cases, but 1 case suffered from fat l iquefaction 2 weeks after operation and healed after drainage and dressing change. All the donor sites healed by first intention, and all the skin grafts survived uneventfully. All the patients were followed up for 6-10 months, there was no relapse of sacral tumor, and the flaps showed no obvious swell ing with good color and elasticity. Conclusion With fewer compl ications, the combination of VSD and gluteus maximus myocutaneous flap is a safe and rel iable operative method for repairing the skin and soft tissue defects caused by the resection of sacral tumors.

    Release date:2016-09-01 09:08 Export PDF Favorites Scan
  • 腰臀皮瓣与臀大肌皮瓣修复骶骨肿瘤术后创口局部坏死及缺损

    目的 探讨利用腰臀皮瓣、臀大肌皮瓣治疗骶骨肿瘤术后局部切口长期不愈合甚至局部坏死、缺损等并发症的临床疗效。 方法 1998 年1 月- 2006 年1 月,9 例骶骨肿瘤术后出现切口局部皮肤坏死,残腔或内固定器械暴露,伴深部创口感染、皮肤缺损等并发症。男6 例,女3 例;年龄20 ~ 57 岁。皮肤坏死范围为4 cm × 3 cm ×3 cm ~ 6 cm × 6 cm × 4 cm。手术行臀大肌局部皮瓣移位4 例,腰臀皮瓣移位4 例,两者联合应用1 例。 结果 术后9 例皮瓣全部成活。3 例创口Ⅰ期愈合,6 例创口经换药后3 周~ 4 个月愈合。3 例术后1 ~ 2 个月供区出现平均3 cm ×2 cm 瘢痕;1 例术后2 周供区脂肪液化,皮下积液,打开创口,通畅引流后好转。患者供区移植皮瓣无血管危象发生。9 例术后均获随访,随访时间6 ~ 13 个月,皮瓣色泽、弹性良好,无明显臃肿,感觉功能佳。1 例患者术后12 个月随访创口仍有间歇性极少量清亮渗液,但局部无感染现象。 结论 应用腰臀皮瓣和臀大肌皮瓣修复骶骨肿瘤术后切口长期不愈合甚至局部坏死、缺损等并发症是一种安全可靠、适用的办法,术后皮瓣供区与移植区外形美观,并发症少。

    Release date:2016-09-01 09:18 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content