臀大肌肌皮瓣转移修复骶尾部创面  

Gluteus maximus myocutaneons flap reconstruction in the repair of sacral wound

作　　者：董帅 李军伟[1] DONG Shuai;LI Junwei(Depantment of Orthopedics,Third ward,Luohe Centeal Hospital,Luohe,Henan,462000,China)

机构地区：[1]漯河市中心医院骨三科,河南漯河462000

出　　处：《实用手外科杂志》2025年第1期62-64,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨臀大肌肌皮瓣转移修复骶尾部创面的临床疗效。方法2017年9月-2023年9月,应用臀大肌肌皮瓣转移修复骶尾部创面25例。其中褥疮16例,肿瘤术后创面形成7例,放射性损伤创面2例。根据美国国家褥疮建议分度方案(National Pressure Ulcer Advisory Panel,NPUAP)分为:Ⅲ度20例,Ⅳ度5例。创面面积:5.0 cm×4.0 cm~18.0 cm×15.0 cm。创面行细菌培养并应用敏感抗生素治疗,清创后一期或二期采用臀大肌肌皮瓣转移修复。结果术后25例皮瓣完全成活,手术切口均一期愈合,供区不需植皮,转移皮瓣无坏死。术后随访4~15个月,无感染及复发病例,且手术对臀大肌功能影响小。结论臀大肌肌皮瓣是修复骶尾部创面的理想方式。Objective To evaluate the clinical results of gluteus maximus myocutaneous flap reconstruction in the treatment of sacral wound.Methods A retrospective study was performed in 25 patients with sacral wound who were treated using the gluteus maximus myocutaneous flap from September 2017 to September 2023.Among them,16 cases were bedsore;7 cases were found after tumor resection;2 cases were injured by radiation.According to the National Pressure Ulcer Advisory Panel(NPUAP)of the United States,there were 20 cases with Ⅲ degree and 5 cases with Ⅳ degree.The wound area was 5.0 cm×4.0 cm to 18.0 cm×15.0 cm.After bacteria culture and application of sensitive antibiotics for wounds,the wounds were repaired with gluteus maximus myocutaneous flap at stage 1 or 2 surgery.Results In this group of 25 patients,the flaps survived completely.The surgical incisions healed at one time.The donor site did not require skin grafting,and the metastatic flap had no necrosis.Followed up for 4 to 15 months without infection and recurrence,and surgery had little effect on gluteus maximus function.Conclusion Gluteus maximus myocutaneous flap reconstruction is an ideal method for the repair of sacral wound.

关 键 词：臀大肌肌皮瓣 创伤和损伤 修复外科手术 

分 类 号：R47[医药卫生—护理学]