股后肌(皮)瓣修复坐骨结节褥疮

目的修复坐骨结节褥疮.方法根据褥疮大小选择股后肌皮瓣或肌瓣,采用股二头肌皮瓣3例,股二头肌瓣1例,股二头肌、半腱肌、半膜肌联合肌瓣1例,向近侧推进,肌肉部分填塞深腔,皮肤部分覆盖创面.结果5例肌(皮)瓣均全部成活,随访5～18个月,除1例术后3个月坐骨部出现窦道外,余均无复发.结论股后肌(皮)瓣具有转移方便,对功能影响较小等优点,适用于坐骨结节褥疮的修复.

Repairing bedsores on ischial tuberosisties with posterior high myocutanous flaps

Objective: To repair the bedsores on the ischial tuberosities. Methods: Based on the area and the depth of the bdesores, the posterior thigh myocutanous flaps were transferred to repair them, the muscular parts were filled into the deep cavities and the skin parts were covered over the wounds. Among these patients, 3 cases were repaired with biceps myocutanous flaps, one with biceps femoris muscular flap and one with joint myocutanous flap of the biceps femoris muscle, semitendinosus muscle and semimembranosus muscle. Results: After 5 to 18 months follow-up, all five flaps were survival and no bedsore recurred, while a sinus was formed in one case in 3 months after operation. Conclusions: The posterior thigh myocutanous flaps can be conveniently transferred and have minor influence on the normal functions. So they are fit to repair the bedsore on the ischial tuberosities.