Journal of tissue viability最新文献_第5页

Diabetic foot ulcer related pain and its impact on health-related quality of life

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-01-06 DOI: 10.1016/j.jtv.2025.100856

Alfarhan Ghadeer , Tao Yan , MacGilchrist Claire , Kirwan Ellen , McIntosh Caroline , A. McIlwaine

Background

Diabetic foot ulcers (DFUs) are a prevalent complication of diabetes. Individuals with DFUs can experience wound-related pain, which could be nociceptive and/or neuropathic in origin, which adversely affects health-related quality of life (HRQoL).

Aim

To determine the prevalence and characteristics of DFU-related pain and its impact on HRQoL in community-dwelling individuals with active DFUs.

Methods

A cross-sectional quantitative study was conducted, employing the Short-form McGill Pain Questionnaire (SF-MPQ) and the Cardiff Wound Impact Schedule (CWIS), involving patients with DFU at a Podiatry Clinic in the West of Ireland.

Results

This study evaluated 30 patients with DFUs, of whom 70.0 % (n = 21) were male. Among the participants, 70.0 % (n = 21) reported at least one sensory pain descriptor from the SF-MPQ, and 40.0 % (n = 12) chose descriptors indicative of neuropathic pain. “Tender” emerged as the most frequently selected sensory pain descriptor (n = 11, 36.7 %). The mean Visual Analogue Scale (VAS) score was 23.3 (±30.9) mm. For present pain intensity (PPI), 43.3 % (n = 13) reported pain ranging from mild to horrible pain. Spearman's correlation analysis revealed a significant negative correlation between SF-MPQ, VAS, PPI, and HRQoL, with moderate to strong associations. Patients with multiple DFU locations or neuropathic pain presented poorer HRQoL evaluation. Sensory pain (β = −3.582, P = 0.026) and PPI (β = −2.682, P = 0.020) were identified as independent predictors of HRQoL based on multiple linear regression analysis.

Conclusion

DFU-related pain is prevalent and significantly impacts patients' HRQoL. It is important to prioritise comprehensive and regular assessment of DFU-related pain during patient consultations. A patient-centred and holistic approach should be adopted, guided by the outcomes of pain assessments.

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引用次数: 0

Effect of aromatherapy on pruritus in people receiving hemodialysis treatment: Systematic review. 芳香疗法对血液透析患者瘙痒的影响：系统综述。

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2024-12-11 DOI: 10.1016/j.jtv.2024.12.004

Abdullah Avcı, Esra Çavuşoğlu

Background: Lack of a complete understanding of the pathophysiology of pruritus directs patients to different treatments. There is little data on the effect of aromatherapy on itching in patients receiving hemodialysis treatment. However, the effect of aromatherapy on pruritus in patients receiving hemodialysis treatment remains unclear.

Aim: The aim of this study is to investigate the effect of aromatherapy on pruritus in hemodialysis patients.

Methods: The protocol of this systematic review study was registered with PROSPERO (CRD42024522699) and PRISMA guidelines were followed in reporting the study. The search was conducted in Pubmed, Web of Science and Scopus databases without year restriction. Inclusion and exclusion criteria were established according to the PICOS criteria. Study selection and quality assessment of the reviewed studies were performed by two independent researchers.

Results: A total of eight studies (461 participants), including two randomized controlled trials and six quasi-experimental studies, were included in the systematic review. All included studies concluded that aromatherapy reduces pruritus. The studies reported no adverse effects of aromatherapy.

Conclusion: The studies included in this systematic review found that aromatherapy has a positive effect on reducing pruritus in hemodialysis patients. It is recommended that studies of high methodological quality be conducted to investigate the efficacy of aromatherapy on pruritus in people undergoing hemodialysis treatment.

背景：对瘙痒的病理生理缺乏完整的认识，导致患者采取不同的治疗方法。关于芳香疗法对接受血液透析治疗的患者瘙痒的影响的数据很少。然而，芳香疗法对接受血液透析治疗的患者瘙痒的影响尚不清楚。目的：探讨芳香疗法对血液透析患者瘙痒的治疗效果。方法：本系统评价研究的方案已在PROSPERO注册（CRD42024522699），并遵循PRISMA指南进行研究报告。检索在Pubmed， Web of Science和Scopus数据库中进行，没有年份限制。根据PICOS标准建立纳入和排除标准。研究的选择和质量评估由两名独立的研究人员进行。结果：系统评价共纳入8项研究（461名受试者），包括2项随机对照试验和6项准实验研究。所有纳入的研究都得出结论，芳香疗法可以减轻瘙痒。研究报告芳香疗法没有不良反应。结论：本系统综述的研究发现芳香疗法对减轻血液透析患者瘙痒有积极作用。建议进行高方法学质量的研究，以调查芳香疗法对接受血液透析治疗的人瘙痒的疗效。

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引用次数: 0

Knowledge levels and attitudes of Turkish nursing students regarding medical device-related pressure injuries and factors influencing them: A cross-sectional study. 土耳其护理专业学生对医疗器械相关压伤及其影响因素的认知水平和态度：横断面研究。

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2024-12-06 DOI: 10.1016/j.jtv.2024.12.011

Saadet Erzincanlı, Öznur Gürlek Kısacık, Münevver Sönmez

Aim: The aim of this study was to determine nursing students' levels of knowledge and attitudes regarding medical device-related pressure injuries (MDRPIs), as well as the factors influencing these.

Materials and methods: This descriptive and cross-sectional study was conducted with 581 nursing students between January and May 2024. Data were collected using the Student Information Form, the Medical Device Related Pressure Injury Knowledge Assessment Test (MDRPI-KAT), and the Medical Device Related Pressure Injury Attitude Questionnaire (MDRPI-AQ).

Results: The nursing students had a mean score of 8.76 ± 2.68 on the MDRPI-KAT, indicating an overall correct answer percentage of 54.7 %. The mean total score on the MDRPI-AQ was 44.08 ± 8.12. Furthermore, 75.0 % of the nursing students (n = 436) achieved a positive attitude score (>40 points). According to the results of the structural equation model, the scores on the MDRPI-KAT among nursing students had a statistically significant effect on their scores on the MDRPI-AQ (β = 0.585, p = 0.002).

Conclusion: This study found that the nursing students exhibited insufficient knowledge about MDRPIs.Despite this, the nursing students demonstrated a positive attitude toward MDRPIs.

目的：本研究旨在了解护生对医疗器械相关压力伤害（mdrpi）的知识和态度水平及其影响因素。材料与方法：对2024年1 - 5月581名护生进行描述性和横断面研究。采用《学生信息表》、《医疗器械相关压力伤害知识评估测试》（MDRPI-KAT）和《医疗器械相关压力伤害态度问卷》（MDRPI-AQ）收集数据。结果：护生在MDRPI-KAT上的平均得分为8.76±2.68分，总体正确率为54.7%。MDRPI-AQ总分平均为44.08±8.12分。75.0%的护生（n = 436）获得积极态度得分（bb0 - 40分）。结构方程模型结果显示，护生MDRPI-KAT得分对MDRPI-AQ得分有显著影响（β = 0.585, p = 0.002）。结论：本研究发现护生对mdrpi认知不足。尽管如此，护生对mdrpi表现出积极的态度。

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引用次数: 0

The 'HAPI' project five years on: Incidence and prevalence of Hospital-Acquired Pressure Injuries in one local health district in Australia. “HAPI”项目五年以来：澳大利亚一个地方卫生区医院获得性压力伤害的发生率和流行率。

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2024-12-06 DOI: 10.1016/j.jtv.2024.12.010

Michelle Barakat-Johnson, Michelle Lai, Jennifer Graham, Andrew Hallahan, Fiona Coyer

Aim: From 2015 to 2018, the 'Hospital-Acquired Pressure Injury (HAPI)' project was implemented in one local health district in Australia and utilised an implementation science approach to address rising pressure injury (PI) incidence and prevalence rates. This paper aims to examine whether the project was successful in sustaining low PI incidence and prevalence rates over the five-years following implementation (spanning the 2018/2019 to 2022/2023 financial years and the 2019-2023 calendar years).

Materials and methods: A retrospective cohort study was conducted involving a comprehensive analysis of HAPI incidence, prevalence, and hospital-acquired complication (HAC) data spanning 5 years (incidence and HAC: 2018/2019 to 2022/2023 financial years; prevalence: January 2019 to December 2023 calendar years) post-implementation of the HAPI project.

Results: Since 2018/2019, incidence of HAPIs decreased by 32.6 % (30.7 HAPI per 10,000 episodes of care in 2018/2019 vs 20.7 HAPI per 10,000 episodes of care in 2022/2023 financial year), prevalence remained stable from 1.1 % to 1.27 % (2019 vs 2023 calendar year), and HAC pressure injuries (stage III, IV, suspected deep tissue, unspecified or unstageable) declined by 27.3 % (2.2 HAPI per 10,000 episodes of care in 2018/2019 vs 1.6 HAPI per 10,000 episodes of care in 2022/2023 financial year).

Conclusion: The HAPI project has successfully maintained a low incidence and prevalence rate of HAPI, over 5 years following implementation. This achievement highlights the benefits of utilising an implementation science approach to implementing a multi-faceted intervention in a complex healthcare setting to ensure sustainability beyond the project phase.

目的：从2015年到2018年，“医院获得性压力伤害（HAPI）”项目在澳大利亚的一个地方卫生区实施，并利用实施科学方法来解决不断上升的压力伤害（PI）发病率和患病率。本文旨在研究该项目是否成功地在实施后的五年内（2018/2019至2022/2023财政年度和2019-2023日历年）保持了较低的PI发病率和患病率。材料和方法：进行了一项回顾性队列研究，全面分析了HAPI的发病率、患病率和医院获得性并发症（HAC）数据，时间跨度为5年(发病率和HAC: 2018/2019至2022/2023财政年度；患病率：HAPI项目实施后的2019年1月至2023年12月。结果:自2018/2019以来,哈皮神的发病率下降了32.6%(每10000集30.7哈皮神的护理在2018/2019 vs 20.7哈皮神每10000集保健在2022/2023财政年度),发病率保持稳定从1.1%到1.27% (2019 vs 2023日历年),和HAC压力伤害(阶段III, IV,疑似深层组织,不明或unstageable)下降了27.3%(每10000集2.2哈皮神的护理在2018/2019 vs 1.6哈皮神每10000集保健在2022/2023财政年度)。结论：HAPI项目实施5年多来，成功地保持了HAPI的低发病率和患病率。这一成就突出了利用实施科学方法在复杂的医疗保健环境中实施多方面干预的好处，以确保项目阶段之后的可持续性。

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引用次数: 0

Comparison of the predictive validity of the Braden, Munro and 3S scales in surgical patients 比较布莱登量表、芒罗量表和 3S 量表对手术患者的预测有效性。

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.06.011

Arzu Aslan Basli , Meryem Yavuz Van Giersbergen , Tülay Özdemir

Aim of the study

This research is a descriptive and cross-sectional study aimed at examining the use of three different scales to assess the risk of pressure injury (PI) in surgical patients.

Materials and methods

This study was conducted between February 1 and July 1, 2022. The study included patients who had planned surgery in general surgery clinic. The sample size was 388 patients. Patients who agreed to participate in the study were asked to fill out the " Introductory Information Form " and perform a risk assessment using the Braden, Munro and 3S Scales. The statistics program IBM SPSS Statistics 25.0 packaged software was used in the analyses of data.

Results

It is evident that the relationship between the scales and the diagnosis of PI, as well as the strength of this relationship, are statistically significant (p < 0.05). The Munro Scale exhibited the highest value of Phi value and validity coefficient c, indicating a stronger association with the diagnosis of PI, thus suggesting its greater effectiveness in discrimination. According to the validity coefficients found, it can be stated that the correct classification percentages for Munro, Braden, and 3S Scales were 91 %, 71 %, and 66 %, respectively.

Conclusion

The findings of this study indicate that both the Braden, Munro, and 3S Scales can be used for PI risk assessment in surgical patients, but the Munro Scale exhibits superior predictive validity compared to the Braden and 3S Scales in terms of overall sensitivity and specificity.

研究目的本研究是一项描述性横断面研究，旨在探讨如何使用三种不同的量表来评估手术患者的压力损伤（PI）风险：本研究在 2022 年 2 月 1 日至 7 月 1 日期间进行。研究对象包括计划在普外科门诊进行手术的患者。样本量为 388 例患者。同意参与研究的患者被要求填写 "入门信息表"，并使用布莱登量表、芒罗量表和 3S 量表进行风险评估。数据分析使用了 IBM SPSS Statistics 25.0 软件包：很明显，量表与 PI 诊断之间的关系以及这种关系的强度均具有统计学意义（p 结论：PI 诊断与量表之间的关系以及这种关系的强度均具有统计学意义（p 结论：PI 诊断与量表之间的关系以及这种关系的强度均具有统计学意义（p 结论）：本研究结果表明，布莱登量表、芒罗量表和 3S 量表均可用于手术患者的 PI 风险评估，但与布莱登量表和 3S 量表相比，芒罗量表在总体灵敏度和特异性方面表现出更高的预测有效性。

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引用次数: 0

The effect of support surface on the prevention of pressure injury in acute care settings: A multi-center prospective observational study 支撑面对预防急症护理环境中压伤的影响：多中心前瞻性观察研究。

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.06.009

Mi-Ock Shim , Chul-Gyu Kim , Ja Kyung Min , So Yeon Kwak , Hyunhee Ghil , Seungmi Park

Purpose

This study aimed to analyze if a multi-foam core mattress with a laminated cover can reduce the incidence of pressure injuries, compared to an alternating air mattress overlay among critically ill patients in acute settings.

Design

Prospective observational study.

Participants

and setting: Patients with a Braden scale score ≤16 on intensive care unit admission at five general hospitals in Korea were included in this study between February 2022 and March 2022.

Methods

One hundred and twenty patients in acute settings were enrolled and categorized into two groups: a multi-form core mattress with a laminated cover group (n = 60) and an alternating air mattress overlay group (n = 60). Data were collected for 7 days by wound care nurses.

Results

Pressure injury developed at a significantly lower rate in the multi-form core mattress with a laminated cover group (n = 4/60, 6.7 %) than in the alternating air mattress overlay group (n = 25/60, 25.0 %) (P = 0.011). Using a multi-foam core mattress with a laminated cover demonstrated a protective effect against pressure injuries (odds ratio 0.123, 95 % confidence interval 0.024–0.620, P = 0.011).

Conclusions

A multi-foam core mattress with a laminated cover was significantly more effective than an alternating air mattress overlay in preventing pressure injury in critically ill patients.

目的：本研究旨在分析在急诊重症患者中，与交替使用的气垫床相比，带有层压罩的多泡沫核心床垫能否降低压力损伤的发生率：前瞻性观察研究：本研究纳入了 2022 年 2 月至 2022 年 3 月期间在韩国五家综合医院重症监护室入院的布莱登量表评分≤16 分的患者：120名急症患者被纳入研究，并分为两组：带层压罩的多形式核心床垫组（n = 60）和交替气垫覆盖组（n = 60）。伤口护理护士收集了 7 天的数据：带层压罩的多形式核心床垫组（n = 4/60，6.7%）的压伤发生率明显低于交替气垫覆盖组（n = 25/60，25.0%）（P = 0.011）。使用带有层压罩的多泡沫核心床垫对压力伤害有保护作用（几率比 0.123，95 % 置信区间 0.024-0.620，P = 0.011）：带层压罩的多泡沫核心床垫在预防重症患者压力损伤方面的效果明显优于交替式气垫床。

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引用次数: 0

Using PURPOSE-T in clinical practice: A realist evaluation 在临床实践中使用 PURPOSE-T：现实主义评估

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.06.014

Susanne Coleman , Joanne Greenhalgh , Lisette Schoonhoven , Maureen Twiddy , Jane Nixon

Aim

To explain how the clinical and organisational context influenced the way the Pressure Ulcer Risk Primary or Secondary Evaluation Tool (PURPOSE-T) is used by nursing staff to support their clinical judgement and decision making about care planning and delivery.

Methods

A realist process evaluation was undertaken in a large acute hospital trust using mixed methods incorporating organisational policy review, staff semi-structured, ethnographic observation of clinical care and patient record review. Approximately 75 h of ethnographic field work involving 72 patients, 15 patient record reviews and 16 staff interviews were undertaken on 4 wards.

Findings

Findings suggest PURPOSE-T assisted nurses differently depending on their level of experience. Those with less experience use it as an educational guide, while those with more experience made an initial clinical judgement and used PURPOSE-T as a safety net to ensure they hadn't missed anything. Nurses were concerned about demonstrating good documentation of assessment, care planning and delivery in order to underpin consistent communication about care and because they had an underlying fear of being blamed if things went wrong. There is an array of other contextual features that impact the planning and delivery of pressure area care that go beyond the use of PURPOSE-T alone, including systematic equipment provision, competing patient safety initiatives and rehabilitation requirements.

Conclusion

The findings reinforce the assertion that PU-RAIs are complex interventions and could inform the development of a more integrated system of care which takes into account the contextual features associated with PU prevention in modern hospitals.

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引用次数: 0

Assessing pressure injury knowledge among Jordanian and Turkish nursing students: A cross-cultural comparison 评估约旦和土耳其护理专业学生的压伤知识：跨文化比较。

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.07.007

Mayada A. Daibes , Abdulkareem S. Iblasi , Fatma Demir Korkmaz , Tugba Nur Oden , Islam Elagoz

Aim

Pressure injuries, a prevalent issue in healthcare settings, have profound physical and emotional implications for patients and healthcare providers. However, further evidence is needed regarding the level of nursing students’ knowledge of pressure injuries in the Middle East, a region where healthcare is rapidly evolving. This study examines the knowledge levels regarding pressure injuries among nursing students in Jordan and Turkey.

Materials and methods

This cross-sectional study collected data from a randomly selected sample of 282 nursing students studying in two private and two Public Universities in Turkey and Jordan. Data was collected using a demographic survey and the Pressure Ulcer Knowledge Assessment Tool (PUKAT 2.0).

Results

The overall knowledge scores among students were alarmingly low, with significant differences between Jordanian and Turkish cohorts, with Turkish students scoring higher. Moreover, a significant difference was observed between students' knowledge levels from public and private universities in Jordan, but no difference was found between students of the two Turkish universities.

Conclusion

The knowledge gap among nursing students regarding pressure ulcers is a critical issue that needs immediate attention. These findings highlight the urgent need for improved educational strategies and standardized competencies in this aspect. This study strongly advocates for changing teaching strategies and incorporating evidence-based pressure injury prevention education into nursing curricula, interprofessional education initiatives, and continuous professional development for faculty. These measures can significantly enhance nursing students’ knowledge and improve patient care.

目的：压伤是医疗机构中普遍存在的问题，对患者和医疗服务提供者的身体和情感都有深远的影响。然而，在医疗保健快速发展的中东地区，护理专业学生对压力伤害的了解程度还需要进一步的证据。本研究调查了约旦和土耳其护理专业学生对压力伤害的了解程度：这项横断面研究从土耳其和约旦两所私立大学和两所公立大学随机抽取的 282 名护理专业学生中收集数据。数据收集采用了人口统计学调查和褥疮知识评估工具（PUKAT 2.0）：结果：学生的总体知识得分低得惊人，约旦和土耳其学生之间存在显著差异，土耳其学生得分更高。此外，约旦公立大学和私立大学学生的知识水平存在明显差异，但土耳其两所大学的学生之间没有差异：护理专业学生在压疮方面的知识差距是一个需要立即关注的关键问题。这些研究结果突出表明，迫切需要改进这方面的教育策略和标准化能力。本研究强烈主张改变教学策略，将循证压伤预防教育纳入护理课程、跨专业教育计划和教师的持续专业发展中。这些措施可大大提高护理专业学生的知识水平，改善患者护理。

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引用次数: 0

Prevention and management of urinary incontinence-associated dermatitis: A systematic review 尿失禁相关皮炎的预防和管理：系统综述。

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.08.006

Neslihan Atlı , Emine Kaplan Serin

Background

To prevent incontinence-associated dermatitis (IAD) and manage the treatment, the cause of IAD must be determined correctly and distinguished from other skin problems. IAD can be prevented with professional care.

Aim

This systematic review aims to systematically examine the methods used in the prevention and treatment of urinary incontinence-associated dermatitis.

Materials and methods

The PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) criteria were taken as the basis for creating the systematic review protocol and writing the article. In this systematic review, the scans are combinations of words and word groups determined by the MeSH (Medical Subject Headings) terms “incontinence”, “incontinence-associated dermatitis”, “prevention of urinary incontinence”, “treatment of urinary incontinence” and “randomized controlled”. Studies conducted in the last eight years were examined in the PubMed, Cochrane Library, Web of Science, and Scopus databases between January and March 2024. Studies were selected by determining inclusion and exclusion criteria according to the PICOS method and these studies included in the review were evaluated according to the Joanna Briggs Institute (JBI) critical evaluation lists according to their types.

Results

Five randomized controlled trials with a total of 644 participants were included in this systematic review. In all five studies included in the review, it was determined that pharmacological and non-pharmacological methods significantly reduced dermatitis associated with urinary incontinence.

Conclusion

In the reviewed studies, it was observed that pharmacological and non-pharmacological methods had a positive effect on dermatitis in individuals with IAD. It is recommended to conduct more studies of high methodological quality, using larger sample groups, with different interventions and randomization and blinding methods, and examining the effectiveness of pharmacological and non-pharmacological methods in individuals with urinary incontinence-associated dermatitis.

背景：为了预防尿失禁相关皮炎（IAD）并对治疗进行管理，必须正确确定IAD的病因，并将其与其他皮肤问题区分开来。目的：本系统综述旨在系统研究预防和治疗尿失禁相关皮炎的方法：以 PRISMA-P（系统性综述和 Meta 分析协议的首选报告项目）标准为基础，制定系统性综述协议并撰写文章。在本系统综述中，扫描词是由 MeSH（医学主题词表）术语 "尿失禁"、"尿失禁相关皮炎"、"尿失禁预防"、"尿失禁治疗 "和 "随机对照 "确定的词和词组的组合。2024 年 1 月至 3 月期间，在 PubMed、Cochrane Library、Web of Science 和 Scopus 数据库中对过去八年中进行的研究进行了审查。根据 PICOS 方法确定纳入和排除标准后筛选出研究，并根据乔安娜-布里格斯研究所（JBI）的关键评估清单对这些纳入综述的研究按类型进行评估：本系统综述共纳入了五项随机对照试验，共有 644 人参与。在所有五项纳入综述的研究中，药物和非药物方法均能显著减轻与尿失禁相关的皮炎：综述研究发现，药物和非药物疗法对 IAD 患者的皮炎有积极影响。建议开展更多方法学质量高的研究，使用更大的样本组、不同的干预措施、随机化和盲法，并考察药物和非药物方法对尿失禁相关皮炎患者的有效性。

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引用次数: 0

Reconstruction for extensive sacrococcygeal defects in complex tumor patients with personalized customized gluteus maximus myocutaneous flaps 用个性化定制的臀大肌肌皮瓣重建复杂肿瘤患者的广泛骶尾部缺损。

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.08.008

Yingnan Geng , Jinyue Liu , Xiaolin Yin , Rongxin Zhao , Lie Zhu

Aim

To evaluate the clinical effects of personalized customized gluteus maximus myocutaneous flaps (GMMF) for reconstruction of extensive sacrococcygeal soft tissue defects in complex tumor patients.

Methods

A retrospective chart review was conducted on 8 patients who underwent personalized customized GMMF reconstruction for large sacrococcygeal defect from December 2021 to August 2023. The personalized customized GMMF were designed based on the variations of tissue defect in location, shape and volume of different dead spaces. The principle of the personalized GMMF is to ensure that the rotation point of the flap can reach the farthest end of the defect. Patient demographics, operative characteristics, and perioperative risk factors were analyzed. Clinical outcomes were assessed, focusing on complications such as flap necrosis, wound dehiscence, infection, seroma, and hematoma.

Results

Six patients with rectal cancer and two with sacral tumors underwent personalized customized GMMF reconstruction for extensive sacrococcygeal defects. The average volume of the wound cavity was 104 mL, with a mean vertical depth was 10.8 cm. Six patients had low serum albumin (<35 g/L). After a mean follow-up of 15.5 months, no major complications occurred, except for one seroma that resolved within 2 weeks.

Conclusion

The personalized customized GMMF described in this study is an effective method for reconstructing large sacrococcygeal wounds with significant depth in complex tumor patients. It allows for greater rotation of the muscle flap into the sacrococcygeal wound defect and provides adequate blood supply by utilizing the bulk of muscle tissue to obliterate dead space.

目的：评估个性化定制臀大肌肌皮瓣（GMMF）重建复杂肿瘤患者广泛骶尾部软组织缺损的临床效果：对2021年12月至2023年8月期间因骶尾部大面积缺损而接受个性化定制臀大肌肌皮瓣重建术的8例患者进行回顾性病历审查。个性化定制的 GMMF 是根据组织缺损的位置、形状和不同死腔体积的变化而设计的。个性化 GMMF 的原则是确保皮瓣的旋转点能够到达缺损的最远端。对患者的人口统计学特征、手术特征和围手术期风险因素进行了分析。对临床结果进行了评估，重点是皮瓣坏死、伤口裂开、感染、血清肿和血肿等并发症：6名直肠癌患者和2名骶骨肿瘤患者接受了个性化定制的GMMF重建术，以治疗广泛的骶尾部缺损。创腔的平均容积为 104 毫升，平均垂直深度为 10.8 厘米。有六名患者的血清白蛋白偏低（结论：GMMF 是一种可用于骶尾部缺损的个性化定制方法：本研究中描述的个性化定制 GMMF 是重建复杂肿瘤患者深度较大的骶尾部伤口的有效方法。它允许肌肉瓣更大程度地旋转到骶尾部伤口缺损处，并通过利用肌肉组织的体积来消除死腔，从而提供充足的血液供应。

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引用次数: 0