臀大肌肌皮瓣在骶尾部难愈创面修复中的应用

目的探讨臀大肌皮瓣在骶尾部难愈创面修复中的意义。方法对25例骶尾部难愈创面实施臀大肌肌皮瓣修复术。对部分坏死组织较多及存在感染的创面,术前应用封闭负压疗法。结果本组25例患者实施臀大肌肌皮瓣修复术,其中1例术后出现皮瓣下血肿、切口裂开,经引流、换药,皮瓣成活好,其余24例手术均成功,创面封闭理想,外观恢复较满意。结论臀大肌肌皮瓣修复术是骶尾部难愈创面的修复手段之一,它具有血供充分,提供的组织量大,操作较为简便等优点,同时封闭负压疗法可为手术创造良好的条件。

Application of gluteus maximus myocutaneous flaps in repairing the refractory wounds of sacrococcygeal region

Objective To explore the significance of gluteus maximus myoeutaneous flaps in repairing plerosis refractory wound on saeroeoecygeal region. Methods All the 25 patients with refractory wounds on sacroeoeeygeal region were repaired using gluteus maximus myoeutaneons flaps. Those places with too much sphacelus and infection were treated by negative pressure wound therapy （NPWT） before reparation. Results Twenty-four cases＇ wound closure was good after repaired. The appearance of the flaps was satisfactory. 0nly one case occurred hematoma under the flaps and disruption of wound. The flaps recovered after incision and drainage. Conclusions Reparation using gluteus maximus myocutaneous flaps is one of the methods for the refractory wounds on sacrococcygeal region because of the simple operation and the flaps having sufficient blood supply and tissue. Meanwhile the NPWT makes a good condition before operation.