腰部神经旋转:一种简单的方法来覆盖神经压力损伤
Shavinder Dogra1, Govind Menon2, Jafar Husain3
1151 Base Hospital, Assam, India.
Journal of wound care
|October 31, 2024
概括
腰部神经旋转 (LSRF) 有效地治疗神经压力损伤 (PIs),即使是大型的. 这种手术技术在管理PI复发方面表现有前途,提供了可靠的重建选择.
科学领域:
- 整形外科 整形外科 整形外科
- 伤口管理 伤口管理
- 重建性手术是一种重建性手术.
背景情况:
- 压力损伤 (PIs) 在不移动的患者中很常见.
- 预防PI是关键,但复发会带来管理挑战.
- 多学科的方法对于有效的PI护理至关重要.
研究的目的:
- 描述 lumbosacral 旋转 (LSRF) 技术用于圣部PI覆盖.
- 评估LSRF在治疗神圣PI中的疗效和结果.
主要方法:
- 对从单一中心前性收集的数据进行回顾性分析.
- 包括接受LSRF治疗的患者,以获得神圣PI.
- 排除患有败血症,免疫损害或器官功能障碍的患者;进行了手术前优化和伤口培养.
主要成果:
- 9名患者 (7名男性,2名女性;平均年龄为47.6岁) 接受了LSRF的圣殿PI (平均尺寸为92.9厘米2).
- 骨髓炎存在于三名患者中.
- 两个片有轻微的边缘性亡,经过保守的管理;所有片都很好地愈合,没有损失或二次手术.
结论:
- 腰椎神经旋转 (LSRF) 是一个可行的第一线治疗神经神经PI.
- LSRF可以有效地覆盖大型十字骨缺陷.
- 片的设计允许在PI复发的情况下进行潜在的重新提升.
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