臀上或臀下动脉穿支皮瓣修复臀部褥疮

Superior or inferior gluteal artery perforator flaps for the gluteal sores

目的 探讨保留臀大肌的臀上动脉或臀下动脉穿支皮瓣修复臀部褥疮.方法 术前常规用多普勒超卢探测仪探测穿支点并标记.设计将穿支点包括在内的不带臀大肌的臀上或臀下动脉穿支带蒂皮瓣修复臀部创面.结果 2006年8月至2009年5月临床应用15例,皮瓣大小为6cm×8 cm～7 cm×15 cm,术后皮瓣均完全成活,供区无血肿、血清肿等并发症发生.结论 臀上动脉或臀下动脉穿支皮瓣保留了臀大肌,血运可靠,能明显降低对供区的损伤,是修复臀部褥疮的一个良好选择.

Objective To investigate the clinical application of superior or inferior gluteal artery perforator flaps for the gluteal sores. Methods Before operation, the perforator artery was detected by Doppler flowmeter and labeled. The perforator flap was designed, including the perforator artery, but not the gluteal maximum muscle. Results From Aug. 2006 to May 2009, 15 cases were treated. The flap size ranged from 6 cm × 8 cm to 7 cm × 15 cm. All the flaps survived completely without hematoma, seroma or other complication. Conclusions The gluteal maximum muscle-reserved gluteal artery perforator flap is a good choice for gluteal sore with reliable blood supply and less morbidity in donor site.