臀上动脉穿支皮瓣在修复骶尾部压疮的应用  

Application of superior gluteal artery perforator flap in repairing sacrococcygeal pressure sores

作　　者：朱婷婷[1] 方小魁 李光早[1] 霍继武[1] 熊竹友[1] 徐静[1] ZHU Ting-ting;FANG Xiao-kui;LI Guang-zao;HUO Ji-wu;XIONG Zhu-you;XU Jing(Department of Orthopedic Burns,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院整形烧伤科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2019年第3期332-334,共3页Journal of Bengbu Medical College

摘　　要：目的:观察臀上动脉穿支皮瓣修复骶尾部压疮的效果。方法:收集采用臀上动脉穿支皮瓣修复大面积骶尾部压疮创面20例,压疮形成时间3个月至10年,创面大小为8 cm×7 cm～16 cm×12 cm,皮瓣切取范围14 cm×6.5 cm～20 cm×18 cm。结果:3例皮瓣出现远端小面积坏死,经换药等对症处理后Ⅱ期愈合,1例皮瓣在术后2 d出现静脉淤血及肿胀,采用部分清创及对侧臀上动脉穿支皮瓣修复创面,余16例皮瓣均Ⅰ期愈合,供区游离皮片生长良好,术后随访1年,皮瓣区外形良好,臀大肌外形及功能完好,无局部复发。结论:臀上动脉穿支皮瓣血供丰富,成活率高,设计灵活,是目前修复骶尾部压疮创面的理想方法。Objective: To investigate the effects of superior gluteal artery perforator flap in repairing sacrococcygeal pressure sores. Methods: Twenty patients with sacrococcygeal pressure sores were repaired with superior gluteal artery perforator flap.The formation time of pressure sores ranged from 3 months to 10 years,the size of pressure sores ranged from 8 cm×7 cm to 16 cm×12 cm,and the size of flaps ranged from 14 cm×6.5 cm to 20 cm×18 cm. Results: Three cases with partial necrosis of flap were the secondary healing after symptomatic treatment,1 case with vein congestion and swelling at postoperative 2 days was treated with partial debridement and superior gluteal artery perforator flap repair,and the primary healing and good growth of free skin in the donor area in 16 cases were identified.All cases were followed up for 1 year,the shape of the flap area was good,the shape and function of gluteus maximus were intact,and there was not local recurrence. Conclusions: Superior gluteal artery perforator flap can provide rich blood supply,has high survival rate and flexible design,which is an ideal method to repair sacrococcygeal pressure ulcer wound.

关 键 词：压疮 臀上动脉穿支皮瓣 骶尾部 

分 类 号：R632.1[医药卫生—外科学]