Dirnberger F
Department of Plastic Surgery, Wilhelminenspital, Vienna, Austria.
Plast Reconstr Surg. 1988 Apr;81(4):567-78. doi: 10.1097/00006534-198804000-00013.
Since 1984, 42 patients have been treated with gluteus maximus myocutaneous flaps. In 37 patients, a "classical" gluteus maximus myocutaneous flap was used to cover a sacral-gluteal defect. In 5 patients, a "nontypical" gluteus maximus myocutaneous flap was used: two flaps were advanced from caudal to cranial to close defects over the lumbar spinal area, two flaps were advanced from cranial to caudal to close defects in the perineal region, and one flap was advanced from medial to lateral to close a trochanteric defect. All defects could be closed. There was no flap necrosis. In 12 patients (out of 42) there were minor wound infections, and in 6 patients there were minor wound dehiscences. The average blood loss never exceeded 500 cc, the average time of hospitalization (postoperatively) was 17 days, and mobilization (walking) was started 3 to 4 days postoperatively. The average distance of flap advancement was 10 cm. The maximum defect closed by a bilateral V-Y gluteus maximus myocutaneous flap was 24 x 20 cm.
自1984年以来，42例患者接受了臀大肌肌皮瓣治疗。37例患者采用“经典”臀大肌肌皮瓣覆盖骶臀缺损。5例患者采用“非典型”臀大肌肌皮瓣：2例皮瓣从尾侧向头侧推进以闭合腰椎区域的缺损，2例皮瓣从头侧向尾侧推进以闭合会阴区域的缺损，1例皮瓣从内侧向外侧推进以闭合转子区缺损。所有缺损均得以闭合。未出现皮瓣坏死。42例患者中有12例发生轻微伤口感染，6例出现轻微伤口裂开。平均失血量从未超过500毫升，术后平均住院时间为17天，术后3至4天开始活动（行走）。皮瓣推进的平均距离为10厘米。双侧V-Y臀大肌肌皮瓣闭合的最大缺损为24×20厘米。
