股薄肌肌瓣联合臀下动脉穿支皮瓣修复坐骨结节Ⅳ期压疮  

Gracilis Muscle Flap Combined with the Inferior Gluteal Artery Perforator Flap was Used to Repair StageⅣPressure Ulcers in Sciatic Nodules

作　　者：邓如非 宋松华 陈嘉欣 张永宏 纪如晨 姜臻宇 邹立津[1] 张友来[1] DENG Rufei;SONG Songhua;CHEN Jiaxin;ZHANG Yonghong;JI Ruchen;JIANG Zhenyu;ZOU Lijin;ZHANG Youlai(Medical Center of Burn Plastic and Wound Repair,the First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi,China)

机构地区：[1]南昌大学第一附属医院烧伤整形与创面修复医学中心,江西南昌330006

出　　处：《中国美容医学》2025年第2期37-40,共4页Chinese Journal of Aesthetic Medicine

基　　金：江西省自然科学基金(名称:多酚基修饰对LPDADM生物性能影响与应用效果研究;编号:20202BABL206072)。

摘　　要：目的:探讨应用股薄肌肌瓣联合臀下动脉穿支皮瓣修复坐骨结节Ⅳ期压疮的临床效果。方法:选取2020年6月-2023年6月笔者医院收治的坐骨结节Ⅳ期压疮患者11例,共15处压疮,压疮面积5.0 cm×3.0 cm~11.0 cm×7.0 cm,窦道深度5.0~11.0 cm,应用股薄肌肌瓣联合臀下动脉穿支皮瓣修复压疮,术后观察肌瓣、皮瓣存活情况及供区创面愈合情况,随访皮瓣的外观、质地及压疮复发情况。结果:所有患者肌瓣及皮瓣存活良好,供区创面均Ⅰ期愈合;术后随访6~24个月,皮瓣色泽及外观较好,外形满意,均未见压疮复发。结论:股薄肌肌瓣联合臀下动脉穿支皮瓣修复坐骨结节Ⅳ期压疮术后成活率高、供区损伤小、外观良好、远期疗效佳。Objective Exploring the clinical effect of using the gracilis muscle flap combined with the inferior gluteal artery perforator flap to repair stage IV pressure ulcers in sciatic nodules.Methods Eleven patients with stage IV pressure ulcers of ischial nodules admitted to the author's hospital from June 2020 to June 2023 were selected,with a total of 15 pressure ulcers and an area of 5.0 cm×3.0 cm-11.0 cm×7.0 cm,sinus depth 5.0-11.0 cm,using the gracilis muscle flap combined with the inferior gluteal artery perforator flap to repair pressure ulcers.Postoperatively,the survival of the muscle flap and flap,as well as the healing of the donor site wound,were observed.The appearance and texture of the flap were followed up,as well as the recurrence of pressure ulcers.Results All patients had good survival of muscle and skin flaps,and the donor site wound healed in stage I.Follow up for 6-24 months after surgery showed that the skin flap had good color and appearance,satisfactory appearance,and no recurrence of pressure ulcers was observed.Conclusion The combination of gracilis muscle flap and inferior gluteal artery perforator flap for repairing stage IV pressure ulcers of ischial nodules has a high survival rate,minimal damage to the donor site,good appearance,and good long-term efficacy.

关 键 词：压疮 坐骨 皮瓣 股薄肌肌瓣 臀下动脉穿支皮瓣 创面 

分 类 号：R622[医药卫生—整形外科]