摘要
自1984年至1991年,我们用臀大肌上部岛状肌皮瓣、臀大肌下部肌皮瓣及全臀大肌肌皮瓣等治疗骶尾部放射性溃疡、骶尾部和坐骨结节部大型褥疮6例7处,伤口均获一期愈合,供瓣区直接拉拢缝合,未用游离植皮,其中一例病灶切除后创面达18cm×12cm,用全臀大肌肌皮瓣修复,供区也能直接拉拢缝合。对非截瘫患者,不能用全臀大肌肌皮瓣,以免髋关节功能障碍,而用半臀大肌肌皮瓣修复。
From 1984 to 1991,5 cases of bedsores and 1 case of ulcer resulted from irradiation in gluteal region were repaired with gluteus maximus musculocutaneous flaps.All 5 cases of bedsores were the result of paraplegia.After a myocutaneous flap was transferred,the donor area was directly sutured without skin grafting.The excision wound in one patient reached 18cm×12cm in size,however it was still repaired with total giuteus maximus muscu- locutaneous flap,and the donor area was also immediately closed with sutures.All of the patients were healed by first intention.For non-paraplegic patients,it was deemed contra- indicated to use a total maximus gluteus musculocutaneous flap,and instead one half of the muscle was used,in order to avoid impairment of function of the hip joint.
