ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ KHUYẾT HỔNG VÙNG CÙNG CỤT BẰNG PHƯƠNG PHÁP CHUYỂN VẠT CHE PHỦ TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

  Background: Sacrococcygeal soft tissue defects, particularly those caused by pressure ulcers, represent a significant challenge in reconstructive surgery due to the high risk of infection and recurrence. Flap reconstruction restores soft-tissue coverage and protects underlying bony structures; however, treatment outcomes depend on wound characteristics and the selection of flap techniques. Objectives: To evaluate the treatment outcomes of sacrococcygeal soft tissue defects at Can Tho Central General Hospital. Materials and methods:  A cross-sectional descriptive study was conducted on 30 patients with sacrococcygeal soft tissue defects who underwent flap reconstruction from June 2024 to February 2026. Results: The mean age of patients was 53.17 ± 17.14 years, with a male-to-female ratio of 16:14. Spinal cord injury was the most common etiology (36.7%). The mean defect area was 49.37 ± 31.24 cm²; the largest recorded flap size was 14.5 × 18 cm. Pedicled flaps were used in 73.3% of cases, while superior and inferior gluteal artery perforator flaps accounted for 60%. The complete flap survival rate was 93.3%. The mean wound healing time was 21.97 ± 5.36 days. Early outcomes were rated as good in 70% of cases and fair in 30%. At 3month follow-up, 83.3% were classified as good, 10% as fair, and 6.7% as poor. The overall rate of patients who were very satisfied or satisfied was 86.6%. Early complications were mainly venous congestion (10%), whereas the most common late complication was ulcer recurrence (6.7%). Conclusions: Flap reconstruction for sacrococcygeal soft-tissue defects is a safe and effective method, with a high flap survival rate, acceptable wound-healing time, and high patient satisfaction. This approach contributes to improved treatment outcomes and reduced recurrence rates.