翻转臀大肌-脂肪筋膜瓣在修复骶尾部褥疮中的应用  

Application of gluteus maximus muscle-adipofascial turnover flap in the repairment of sacrococcygeal decubitus ulcers

作　　者：梁伟中[1] 赵作钧[1] 艾红梅[1] 王从峰[1] 闫迎军[1] 周正[2] 

机构地区：[1]北京煤炭总医院整形外科,北京100028 [2]北京煤炭总医院普通外科

出　　处：《中国美容医学》2010年第10期1421-1423,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨臀大肌-脂肪筋膜瓣在修复骶尾部褥疮中的应用效果。方法:自2007年8月～2010年1月,应用臀大肌-脂肪筋膜瓣用于修复骶尾部褥疮处腔隙18例,该复合组织瓣大小为5cm×6cm～7cm×8cm,然后拉拢两侧创缘闭合创面。结果:本组18例中,16例I期愈合,1例发生感染,1例血肿,均予换药后愈合,复发率5.6%。结论:臀大肌-脂肪筋膜瓣血供丰富,易成活,应用该翻转组织瓣可消灭创面处死腔,可有效防止术后褥疮复发。Objective To study the clinical effect of gluteus maximus muscle-adipofascial turnover flap in the treatment of sacrococcygeal decubitus ulcers. Methods From August 2007 to January 2010,18 cases of sacrococcygeal decubitus ulcers were repaired by gluteus maximus muscle-adipofascial turnover flap. The area of flaps ranged from 5cm×6cm to 7cm×8cm. The wound is then closed with direct polymerizing suture. Results Overall, 88% of the flaps （16 of 18） healed primarily.Two patients had early postoperative complications, including wound infection and hematoma. All of these wounds healed with dressing change.Recurrence rate of the study is 5.6 percent. Conclusion Gluteus maximus muscle-adipofascial turnover flap with rich blood supply and high survival percent was a high efficiency approach for filling dead space in repairing sacrococcygeal decubitus ulcers. This method has effect on preventing recurrence of decubitus ulcers after operation.

关 键 词：臀大肌-脂肪筋膜瓣 褥疮 修复 

分 类 号：R622[医药卫生—整形外科]