PDF(Pubmed)
Abstract：
OBJECTIVE: To evaluate the clinical application of damage control surgery (DCS) in patients with sacrococcygeal deep decubitus ulcers complicated by sepsis.
METHODS: We conducted a 3-year retrospective clinical study of 32 patients with deep sacrococcygeal bedsores and sepsis admitted from January 2018 to January 2021. According to the concept of DCS, the wound was temporarily closed with vacuum sealing drainage after primary debridement, and a local rhomboid flap was designed to repair the wound in the second stage. Finally, the clinical therapeutic effect was observed.
RESULTS: Twenty-nine patients were treated with skin flap translocation and were cured clinically. Specifically, the skin flap survived in 27 of the 29 patients after the first translocation attempt (success rate of 93.1%). One patient developed incisional dehiscence, and one patient developed a hydrocele under the skin flap.
CONCLUSIONS: Application of DCS in patients with sacrococcygeal deep decubitus ulcers complicated by sepsis improves the therapeutic success rate and reduces the risks of the operation and complication rate. It has unique advantages and is worthy of clinical promotion.
METHODS: We conducted a 3-year retrospective clinical study of 32 patients with deep sacrococcygeal bedsores and sepsis admitted from January 2018 to January 2021. According to the concept of DCS, the wound was temporarily closed with vacuum sealing drainage after primary debridement, and a local rhomboid flap was designed to repair the wound in the second stage. Finally, the clinical therapeutic effect was observed.
RESULTS: Twenty-nine patients were treated with skin flap translocation and were cured clinically. Specifically, the skin flap survived in 27 of the 29 patients after the first translocation attempt (success rate of 93.1%). One patient developed incisional dehiscence, and one patient developed a hydrocele under the skin flap.
CONCLUSIONS: Application of DCS in patients with sacrococcygeal deep decubitus ulcers complicated by sepsis improves the therapeutic success rate and reduces the risks of the operation and complication rate. It has unique advantages and is worthy of clinical promotion.
摘要：
目的：评价损伤控制外科(DCS)在骶尾部深褥疮并发脓毒症患者中的临床应用价值。
方法：我们对2018年1月至2021年1月收治的32例骶尾部深部褥疮和脓毒症患者进行了为期3年的回顾性临床研究。根据DCS的概念,初次清创术后用负压封闭引流暂时封闭伤口，第二阶段设计了局部菱形皮瓣修复伤口。最后,观察临床治疗效果。
结果：29例皮瓣移位治疗，临床治愈。具体来说,29例患者中有27例皮瓣在首次转位尝试后存活(成功率为93.1%)。一名患者出现切口裂开,一名患者在皮瓣下出现鞘膜积液。
结论：在骶尾部深褥疮并发脓毒症患者中应用DCS可提高治疗成功率，降低手术风险和并发症发生率。具有独特的优势，值得临床推广。
方法：我们对2018年1月至2021年1月收治的32例骶尾部深部褥疮和脓毒症患者进行了为期3年的回顾性临床研究。根据DCS的概念,初次清创术后用负压封闭引流暂时封闭伤口，第二阶段设计了局部菱形皮瓣修复伤口。最后,观察临床治疗效果。
结果：29例皮瓣移位治疗，临床治愈。具体来说,29例患者中有27例皮瓣在首次转位尝试后存活(成功率为93.1%)。一名患者出现切口裂开,一名患者在皮瓣下出现鞘膜积液。
结论：在骶尾部深褥疮并发脓毒症患者中应用DCS可提高治疗成功率，降低手术风险和并发症发生率。具有独特的优势，值得临床推广。
