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首页> 外文期刊>The Journal of dermatology >Postoperative gluteal skin damage associated with latent development of gluteal muscle damage
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Postoperative gluteal skin damage associated with latent development of gluteal muscle damage

机译：术后臀肌损伤与潜在的臀肌损伤相关

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Preceding this study, we observed two cases of concurrent postoperative gluteal skin and muscle damage with extremely high serum creatine kinase (CK) levels, both of which were unrelated to pressure-induced tissue injury. However, postoperative gluteal skin damage accompanied by gluteal muscle damage has not been previously reported and the association between gluteal skin damage, gluteal muscle damage and pressure-induced tissue injury has not previously been investigated. Therefore, we conducted this study to determine the postoperative incidence of gluteal skin damage associated with gluteal muscle damage and assess associations with postoperative serum CK levels and pressure-induced tissue injury. We prospectively evaluated postoperative incidence of gluteal skin damage and measured serum CK levels in 929 consecutive patients who underwent abdominal, urological or gynecological surgery at our hospital. Magnetic resonance imaging (MRI) of the pelvis was performed in 67 patients who consented. As a result, two of 929 patients developed postoperative gluteal skin damage accompanied by gluteal muscle damage. Gluteal muscle damage without gluteal skin damage was observed in 23 of the 67 patients who underwent MRI, and volumes of damaged gluteal muscle and postoperative serum CK levels were positively correlated. Both gluteal skin and muscle damage were distinguishable from pressure-induced tissue injury. Based on the results of this study, we could confirm the occurrence of postoperative gluteal skin damage, distinct from pressure sores, accompanied by gluteal muscle damage. We also revealed latent development of postoperative gluteal muscle damage, distinguishable from compression-induced tissue injury, without accompanying gluteal skin damage.
机译：在进行这项研究之前，我们观察到两例术后并发的臀肌和皮肤损伤，并伴有极高的血清肌酸激酶（CK）水平，这两种情况均与压力引起的组织损伤无关。但是，先前尚未报道术后伴有臀肌损伤的臀肌损伤，并且尚未研究过臀肌损伤，臀肌损伤和压力引起的组织损伤之间的关系。因此，我们进行了这项研究，以确定术后与臀肌损伤相关的臀皮肤损伤的发生率，并评估与术后血清CK水平和压力引起的组织损伤的相关性。我们前瞻性评估了我院接受腹部，泌尿科或妇科手术的929例连续患者的臀肌损伤的术后发生率，并测量了血清CK水平。在同意的67例患者中进行了骨盆的磁共振成像（MRI）。结果，在929例患者中，有2例术后出现了臀肌损伤并伴有臀肌损伤。在接受MRI检查的67例患者中，有23例观察到了臀肌损伤而无臀肌损伤，并且臀肌损伤体积与术后血清CK水平呈正相关。臀肌和肌肉的损伤都可以与压力引起的组织损伤区分开。根据这项研究的结果，我们可以证实术后臀肌损伤的发生，与压疮不同，并伴有臀肌损伤。我们还揭示了术后臀肌损伤的潜在发展，与压迫诱发的组织损伤不同，而没有伴随的臀肌损伤。

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