de Weerd L, Weum S
Department of Plastic Surgery and Hand Surgery, University Hospital of Tromso, Norway.
Br J Plast Surg. 2002 Apr;55(3):251-3. doi: 10.1054/bjps.2002.3791.
The treatment of sacral pressure sores in ambulatory patients presents a challenge to the reconstructive surgeon. We report the successful use of two pedicled lumbar artery perforator flaps to cover a sacral defect measuring 12 cm x 25 cm. Stable coverage was provided, with protective sensibility, acceptable contour and minimal donor-site morbidity, while additional functional loss of the gluteal muscle was avoided. The configuration of the flaps resembles a butterfly.
对非卧床患者的骶部压疮进行治疗，对整形外科医生来说是一项挑战。我们报告成功使用两个带蒂腰动脉穿支皮瓣覆盖一个尺寸为12厘米×25厘米的骶部缺损。提供了稳定的覆盖，具有保护性感觉、可接受的外形和最小的供区并发症，同时避免了臀肌额外的功能丧失。皮瓣的形态类似一只蝴蝶。
