Modification of the Gluteus Maximus V‐Y Advancement Flap for Sacral Ulcers: The Gluteal Fasciocutaneous Flap Method
Modification of the Gluteus Maximus V‐Y Advancement Flap for Sacral Ulcers: The Gluteal Fasciocutaneous Flap Method
复制标题
臀大肌 V-Y 推进皮瓣治疗骶骨溃疡的改良：臀筋膜皮瓣法
DOI：
10.1097/00006534-199612000-00020
复制
发表时间：
1996
影响因子：
3.6
通讯作者：
I. Haraga
中科院分区：
文献类型：
--
作者：
H. Ohjimi;K. Ogata;Yuri Setsu;I. Haraga
&NA;我们设计了一种改良的臀大肌V-Y推进皮瓣方法来闭合骶骨溃疡。我们的方法的目的是简化手术过程，并避免传统方法牺牲的臀大肌功能缺陷。切除骶骨溃疡后，在双侧骶骨上标记V-Y推进皮瓣。臀大肌筋膜切口在皮肤上的同一切口处。通过在骶旁区域解剖筋膜和肌肉之间的层，将每个内侧皮瓣的三分之一作为筋膜皮瓣提起。然后将皮瓣向内侧移动并缝合。我们使用这种技术对24例骶骨溃疡患者进行了手术。患者包括19名骶骨压疮和5名骶骨放射性溃疡。18例门诊患者也被纳入该组。结果显示所有患者均无皮瓣坏死。在非卧床患者中，术后未观察到臀大肌功能缺陷。术中平均失血量为250 ml。我们的结论是臀肌V-Y推进皮瓣作为筋膜皮瓣是上级优于传统的肌皮瓣方法。
&NA; We designed a modified gluteus maximus V‐Y advancement flap method for closing a sacral ulcer. The purposes of our method were to simplify the surgical procedure and to avoid a functional deficit of the gluteus maximus muscle that was sacrificed by the conventional method. After excising the sacral ulcer, the V‐Y advancement flap is marked on the bilateral buttock. Fascial incision of the gluteus maximus is made at the same incision in the skin. One‐third of each medial flap is elevated as a fasciocutaneous flap by dissecting the layer between the fascia and the muscle at the parasacral region. The flaps are then moved medially and sutured. We operated on 24 patients with sacral ulcers using this technique. The patients included 19 with a sacral pressure sore and 5 with a radiation ulcer on the sacrum. Eighteen ambulatory patients also were included in this group. The results showed no flap necrosis in any patient. No functional deficit of the gluteus maximus muscle was observed postoperatively in the ambulatory patients. Average blood loss was 250 ml during the procedure. We conclude that the gluteus V‐Y advancement flap as a fasciocutaneous flap is superior to the conventional musculocutaneous flap method.