穿支蒂皮瓣修复臀骶部软组织缺损  

PERFORATOR-BASED FLAP FOR REPAIR OF GLUTEAL-SACRAL DEFECTS

作　　者：柴益民[1] 林崇正[1] 马心赤[1] 陈汉东[1] 陈彦堃[1] 

机构地区：[1]海南省人民医院显微外科

出　　处：《中国修复重建外科杂志》2005年第7期539-540,共2页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：海南省自然科学基金资助项目(30217)~~

摘　　要：目的探讨应用穿支蒂皮瓣修复臀骶部软组织缺损的手术方法及临床效果。方法1998年以来临床应用8例,其中男5例,女3例。年龄15～79岁。根据缺损部位及大小设计以臀部、骶旁或腰动脉的皮穿支为血管蒂的轴型穿支蒂皮瓣移位修复臀骶部褥疮、溃疡及外伤性软组织缺损创面。切取皮瓣达6cm×5cm～19cm×11cm,穿支血管口径1.3～2.1mm,游离穿支血管蒂长度为2.5～4.5cm。结果皮瓣全部成活,伤口期愈合。随访6～24个月,皮瓣质地优良,外形满意,溃疡无复发。结论穿支蒂皮瓣设计灵活,切取方便,血供可靠,不损伤臀部肌肉,供区无需植皮,是修复臀骶部软组织缺损创面的理想方法。Objective To investigate the operative technique and clinical effect of perforator-based flap for repair of gluteal-sacral skin defects. Methods A new perforator-based flap derived from the gluteal, parasacral and the lumbar arteries was used to repair skin defects of gluteal-sacral region caused by trauma or pressure sore. The flap areas ranged from (6 cm×)(5 cm) to (19 cm×)(11 cm), the diametre of perforating vessel ranged from 1.3 to (2.1 mm,) the length of free perforating vessel pedicle ranged from 2.5 to (4.5 cm.) Results All the flaps survived and the wound gained primary healing. All the patients were followed up for 6 to 24 months. The colour and texture of the flaps were excellent, the configuration was satifactory and there was no ulcer recurrence. Conclusion This new type of flap is characterized by delicate design, easy dissection, reliable blood supply, nosacrifice of the underlying muscle and no requirement skin graft for donor site closure. It is an optimal method in repairing soft tissue defects of the gluteal-sacral region.

关 键 词：外科皮瓣 皮穿支 臀骶部 修复 

分 类 号：R622[医药卫生—整形外科]