臀部穿支皮瓣在褥疮修复中的应用

目的：探讨臀上或臀下穿支皮瓣修复臀部褥疮的方法及效果。方法：采用臀上或臀下穿支皮瓣修复臀部褥疮共9例。皮瓣面积为6cm×10cm～8cm×20cm,覆盖受区溃疡大小为4cm×7cm～7cm×18cm。结果：术后皮瓣全部成活,随访3个月～1年半,皮瓣质地良好,外形不臃肿,供区愈合良好。结论：臀上或臀下穿支皮瓣血运可靠,设计灵活,手术切取简便安全,保留臀大肌,供区无须植皮,是修复臀部褥疮创面的理想方法。

Application of gluteal artery flap in repair of sacral bedsore

Objective To investigate the methods and effects of the superior and inferior gluteal artery flap in the repair of sacral bedsore.Methods The superior and inferior gluteal artery flap were used to repair the sacral bedsore in 9 cases.The area of skin flap was 6cm ×10cm～8cm ×20cm,the area of ulcerated area was 4cm ×7cm～7cm ×18cm.Results All the skin flaps were survived after operation.Cases were followed up from three months to One and half a year.The texture,functions and appearance of flaps were fine,and the donor site heal well.Conclusions The superior and inferior gluteal artery flaps which have reliable blood supply and could be transferred simply and safely,is an ideal method to repair the sacral bedsore with preserve the muscle of gluteal maximums.Donor site recover well without skin grafting.