{"title":"皮瓣转移联合负压创面治疗复杂压疮的疗效观察。","authors":"Jing Wen, Xinxin Hu","doi":"10.1080/09546634.2025.2537752","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To evaluate outcomes of adding skin-flap transfer to negative-pressure wound therapy (NPWT) for complex pressure ulcers.</p><p><strong>Methods and material: </strong>Twenty-nine patients (Aug 2018-Sep 2022) were divided into control (debridement + NPWT, <i>n</i> = 14) and observation (same plus flap transfer, <i>n</i> = 15). One-year follow-up compared healing rates, healing time, postoperative stay, total stay, cost, Zarit caregiver burden, SF-36 quality of life, complications and recurrence.</p><p><strong>Results: </strong>Healing rates, healing time, postoperative stay, complications and recurrence did not differ (<i>p</i> > 0.05). Observation group had shorter total stay, lower costs, reduced caregiver burden and better SF-36 scores (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Skin-flap transfer combined with NPWT safely treats complex pressure ulcers, improving quality of life, reducing caregiver load and overall costs without increasing complications or recurrence.</p>","PeriodicalId":94235,"journal":{"name":"The Journal of dermatological treatment","volume":"36 1","pages":"2537752"},"PeriodicalIF":3.9000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of skin flap transfer combined with negative pressure wound therapy in the management of complex pressure ulcers.\",\"authors\":\"Jing Wen, Xinxin Hu\",\"doi\":\"10.1080/09546634.2025.2537752\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>To evaluate outcomes of adding skin-flap transfer to negative-pressure wound therapy (NPWT) for complex pressure ulcers.</p><p><strong>Methods and material: </strong>Twenty-nine patients (Aug 2018-Sep 2022) were divided into control (debridement + NPWT, <i>n</i> = 14) and observation (same plus flap transfer, <i>n</i> = 15). One-year follow-up compared healing rates, healing time, postoperative stay, total stay, cost, Zarit caregiver burden, SF-36 quality of life, complications and recurrence.</p><p><strong>Results: </strong>Healing rates, healing time, postoperative stay, complications and recurrence did not differ (<i>p</i> > 0.05). Observation group had shorter total stay, lower costs, reduced caregiver burden and better SF-36 scores (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Skin-flap transfer combined with NPWT safely treats complex pressure ulcers, improving quality of life, reducing caregiver load and overall costs without increasing complications or recurrence.</p>\",\"PeriodicalId\":94235,\"journal\":{\"name\":\"The Journal of dermatological treatment\",\"volume\":\"36 1\",\"pages\":\"2537752\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2025-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal of dermatological treatment\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/09546634.2025.2537752\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/7/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of dermatological treatment","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/09546634.2025.2537752","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/28 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Efficacy of skin flap transfer combined with negative pressure wound therapy in the management of complex pressure ulcers.
Aim: To evaluate outcomes of adding skin-flap transfer to negative-pressure wound therapy (NPWT) for complex pressure ulcers.
Methods and material: Twenty-nine patients (Aug 2018-Sep 2022) were divided into control (debridement + NPWT, n = 14) and observation (same plus flap transfer, n = 15). One-year follow-up compared healing rates, healing time, postoperative stay, total stay, cost, Zarit caregiver burden, SF-36 quality of life, complications and recurrence.
Results: Healing rates, healing time, postoperative stay, complications and recurrence did not differ (p > 0.05). Observation group had shorter total stay, lower costs, reduced caregiver burden and better SF-36 scores (p < 0.05).
Conclusions: Skin-flap transfer combined with NPWT safely treats complex pressure ulcers, improving quality of life, reducing caregiver load and overall costs without increasing complications or recurrence.
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