臀上皮神经营养血管皮瓣转位修复骶尾部褥疮

The superior gluteal neurocutaneous flap transfer for sacrococcygeal pressure sores

目的 观察臀上皮神经营养血管皮瓣修复骶尾部褥疮的效果.方法从2005年5月至2009年12月,临床上对12例骶尾部褥疮采用臀上肌营养血管皮瓣转位修复,褥疮面积最大15 cm×30 cm,最小5 cm×8 cm,皮瓣最大面积17 cm×32 cm,最小10×12 cm.结果 12例皮瓣全部成活,褥疮治愈.术后最长随访时间为4年,最短为半年,平均为2.5年.随访发现皮瓣血运良好,褥疮无复发.结论 臀上皮神经营养血管皮瓣血供可靠,切取简单,是修复骶尾部褥疮较好的方法.

Objective To observe the clinical outcomes of the superior gluteal neurocutaneous flap for sacrococcygeal pressure sores. Methods Twelve cases with sacrococcygeal pressure sores were covered by the superior gluteal neurocutaneous flap from May 2005 to Nov. 2009. The sore size ranged from 15 cm ×30 cm to 5 cm × 8 cm, while the flap size ranged from 17 cm × 32 cm to 10 cm× 12 cm. Results All 12 flaps survived totally with the pressure sores healed. The longest follow-up time was four years, the short follow-up time was half a year, the average time was 2.5 years. The superior gluteal neurocutaneous flap was good blood circulation, pressure sores not recur. Conclusion The superior gluteal neurocutaneous flap is a good treatment for sacrococcygeal pressure sores for its reliable blood supply and simple harvesting.