应用臀上动脉岛状肌皮瓣治疗骶尾部压疮的临床研究

Application of superiorgluteal artery island myocutaneous flap for treatment of sacroiliac ducubital necrosis in clinical research

目的:探讨应用臀上动脉岛状肌皮瓣治疗骶尾部压疮的临床效果。方法:2010年1月～2012年5月,收治11例骶尾部褥疮患者。男7例,女4例;年龄52～73岁。褥疮范围6cm×5cm～11cm×8cm。根据缺损部位及大小设计以臀上动脉为血管蒂的轴型岛状肌皮瓣移位修复骶尾部压疮。结果:术后肌皮瓣全部成活,10例伤口I期愈合,1例出现切口缘2cm长度的感染,经换药后愈合。随访3个月,移植肌皮瓣未见破溃,皮肤颜色及弹性均恢复较好,压疮无复发。结论:臀上动脉岛状肌皮瓣供血动脉恒定,切取方便,质地较厚耐磨,供区无需植皮,在臀骶部压疮的治疗效果较为理想。

Objective To investigate the superiorgluteal artery island musculocutaneous flap in the sacroiliac decubital necrosis treatment in the clinical effect. Methods January 2010-May 2012, treated 11 cases of patients with the sacroiliac decubital necrosis. 7 males and 4 females; aged 52 to 73 years. Sacroiliac decubital necrosis range 6cm x 5cm-11cm x 8cm. According to defect location and size of design to the superior gluteal artery pedicled axial musculocutaneous flap repair thesacroiliac decubital necrosis. Results Musculocutaneous flap after all survived the 10 cases of wound Phase I of healing, one cases of infection of the incision margin of 2cm length, healed after changing dressing. Followed up for three months, the transplanted muscle flap was no ulceration, skin color and elasticity recovered well, pressure ulcer recurrence. Conclusion The superior gluteal artery musculocutaneous flap in the feeding artery of a constant, easy to cut, wear thick texture, the donor site without skin grafting, more desirable buttocks sacroiliac decubital necrosis treatment.