应用双侧臀上下动脉穿支皮瓣修复骶尾部巨大压疮  

Clinical application of bilateral superior and inferior gluteal artery perforator flaps in the repair of large sacrococcygeal pressure ulcers

作　　者：邹杰[1] 肖夏娟[1] 肖昌明[1] 黎鸿章[1] 潘宁 ZOU Jie;XIA0 Xia-juan;XIA0 Chang-ming;LI Hong-zhang;PAN Ning(Department of Bum and Plastic Surgery, The First People's Hospital of Neijiang City, Neijiang 641000, China)

机构地区：[1]内江市第一人民医院烧伤整形科,四川内江641000 [2]四川省医学科学院四川省人民医院皮肤外科,四川成都610031

出　　处：《中国美容整形外科杂志》2019年第7期430-432,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨采用双侧臀上、下动脉穿支皮瓣旋转修复骶尾部巨大压疮的临床效果。方法对8例骶尾部巨大压疮(15 cm×9 cm^18 cm×12 cm)患者,设计以双侧臀上、下动脉穿支为蒂的局部旋转皮瓣修复压疮创面,皮瓣切取面积30 cm×18 cm^45 cm×25 cm。结果所有皮瓣全部成活,其中6例切口一期愈合,2例切口延期愈合;术后随访1~3个月,压疮无复发,皮瓣弹性良好,双侧臀部基本对称。结论采用双侧臀上、下动脉穿支皮瓣旋转修复骶尾部巨大压疮,是一种简单可行的方法。Objective To explore the clinical efficacy ofbilateral superior and inferior gluteal artery perforator flaps in the repair of large sacrococcygeal pressure ulcers. Methods A local rotation flap was designed, pedicled with the bilateral superior and inferior gluteal artery perforator. The area of the flaps was from 30 cm × 18 cm to 45 cm × 25 cm. For 8 patients with large sacrococcygeal pressure ulcers(15 cm × 9 cm to 18 cm × 12 cm), the wound was covered by flaps. Results All flaps survived, of which 6 cases were healed in the first stage and 2 cases in which healing was delayed. All patients were followed up from 1 to 3 months. There was no recurrence of pressure ulcers, the elasticity of the flaps was good, and bilateral buttocks were symmetrical. Conclusion The application of bilateral superior and inferior gluteal artery perforator flaps was a simple and feasible method in the repair of large sacrococcygeal pressure ulcers.

关 键 词：穿支皮瓣 骶尾部 压疮 

分 类 号：R632.1[医药卫生—外科学]