| 摘要: |
| ［摘要］ 目的 探讨臀部岛状筋膜皮瓣修复骶尾部褥疮的应用及效果。方法 根据供区解剖特点和受区病损情况进行皮瓣设计，以臀上动脉为旋转点设计四叶岛状筋膜瓣，皮瓣仅达深筋膜，不损伤臀大肌，旋转90°修复创面，供区拉拢缝合。结果 2000～2008年临床应用14例，术后皮瓣全部成活，皮瓣质地柔软，外形满意。结论 应用臀部岛状筋膜皮瓣修复骶尾部褥疮临床效果满意，外形饱满，且不影响髋关节活动。 |
| 关键词: 臀部 筋膜皮瓣 骶尾部 褥疮 |
| DOI：10.3969/j.issn.1674-3806.2009.07.26 |
| 分类号: |
| 基金项目: |
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| Buttocks island shape fasciocataneous flap in the repair of sacrococcygeal pressure sores |
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QIU Fu- kui, LIAO Wen-lun, ZHU Li-juan
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Department of Burns and Plastic Surgery, Hezhou People′s Hospital, Hezhou 542800，China
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| Abstract: |
| ［Abstract］ Objective To discuss the application and effect of buttocks island shape fascivcataneous flap in the repair of sacrococcygeal pressure sore. Methods According to the donor anatomical characteristis and the recipient damaged situation, taking superior gluteal as the rotatory point, four lobate island shape fasciocataneous flap were designed.The depth of got flap reached the deep fascia, but did not damage the gluteus maximus, the flap was rotated 90 degree to repair injured areas.Then the donor area were won over and sutured.Results From 2000 years to 2008 years the clinical practice were performed in 14 patients, after the technique the flap completely survived, the quality of flap was soft, the appearance of flaps was satisfied.Conclusion The clinical effect of the buttocks island shape fasciocataneus flap in the repair of sacrococcygeal pressure scors is satisfied.its appearance is full, also does not affect the activity of the hip joint. |
| Key words: Buttocks Fasiocutabeous flap Sacrococcygeal region Pressure sores |
