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Dekübit ülserlerinde cerrahi tedavi sonuçlarımız

Our surgical resultsin decubitus ulcers

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Abstract (2. Language): 
Decubitus ulcers can deveiop in immobilized patient. Patients with spinal cord injury and eiderly patients are at high risk. We presented 36 patient with pressure sore that we operated betvveen May 1994 and January 2000 and our reconstructive procedures. Sacral, trochanteric and ischial pressure sores we are included the study, other sites were excepted. As 3 patient with İschial ulcer were accepted because of recurrence, there were no recur-rence for sacral and trochanteric ulcers. This recurrences were not depend on surgical techniçues perhaps due to pressure. Selecting the proper surgical technique for decubitus ulcer, is important either preventing recurrence and funtional loss. We reviewed our experience with reconstruction of decubit ulcers between 1994 and 2000 years.
Abstract (Original Language): 
Dekübit ülserleri uzun süreli yatağa bağımlı hastalarda gelişebilir. Yaşlı ve spinai kord yaralanması olan hastalar yüksek risk grubundadır. Bu yazıda Mayıs 1994 - Ocak 2000 yıllan arasında kliniğimizde öpere edilen 52 dekübit hastası ve bunlara uygulanan onarım yöntemlerimiz sunulmuştur. Çalışmaya sakral trokanterik ve iskiyal bası yaraları dahil edilmiş olup bunun dışındaki alanlar hariç tutulmuştur. 3 iskiyal ülserli hasta nüks nedeniyle başvurmuşken sakral ve trokanterik ülserlerde hiç nükse rastlanmadı. Bu nüksün cerrahi teknikten çok basıya bağlı olduğu düşünüldü. Dekübit ülserlerinde cerrahi yaklaşımların hem nüksü önleme hem de fonksiyonel hasar oluşturmaması bakımından önemlidir. Bu yazıda 1994 - 2000 yılları arasında öpere ettiğimiz hastalar ışığında dekübit ülserleri onarımına yaklaşımlarımız sunulmuştur.
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