THE GLUTEAL PERFORATOR-BASED FLAP FOR REPAIR OF SACRAL PRESSURE SORES
THE GLUTEAL PERFORATOR-BASED FLAP FOR REPAIR OF SACRAL PRESSURE SORES
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DOI：
10.1097/00006534-199304000-00017
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发表时间：
1993-04-01
影响因子：
3.6
通讯作者：
IKEDA, A
中科院分区：
文献类型：
--
作者：
KOSHIMA, I;MORIGUCHI, T;IKEDA, A
介绍一种以臀大肌穿支为蒂的臀肌穿支皮瓣。一项尸体研究显示，在臀肌区域周围存在几个重要的穿支动脉。其中，起源于阴部内动脉和骶外侧动脉的骶旁穿支已被证明可用于骶骨压疮的修复。七位病患共八位褥疮，以臀肌穿支皮瓣治疗。术后除1例发生瘘外，无皮瓣坏死、切口感染等并发症。这种皮瓣不需要切断或牺牲臀大肌，皮瓣提升时间短。然而，穿支动脉位于不同部位，因此需要仔细解剖。
A gluteal perforator-based flap employing the gluteus maximus muscle perforators located around the sacrum is described. A cadaveric study disclosed the existence of several significant perforators all around the gluteal region. Among these, the parasacral perforators originating from the internal pudendal artery and lateral sacral artery have proven useful for the repair of sacral pressure sores. A total of eight decubitus in seven patients were treated with gluteal perforator-based flaps. There were no postoperative complications, such as flap necrosis and wound infection, with the exception of fistula formation in one case. This flap requires no transection or sacrifice of the gluteus maximus muscle, and elevation time for the flap is short. However, the perforators are located at various sites and thus require some careful dissection.