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骶部压疮:采用岛状臀大肌肌皮瓣治疗

Sacral pressure sores: treatment with island gluteus maximus musculocutaneous flaps.

作者信息

Rees R S, Reilley A F, Nanney L B, Lynch J B

出版信息

South Med J. 1985 Oct;78(10):1147-51.

PMID:3901280
Abstract

We have used the island gluteus maximus musculocutaneous flap to cover sacral pressure sores. In this report, we describe the surgical anatomy, cadaveric dissections (n = 25), and postoperative follow-up (one to 40 months) in 13 clinical cases. Our results compare favorably with those of other previously reported series. Postoperative complications are few (n = 2) and late recurrence is acceptable (n = 1). Since the surgical anatomy is consistent and the operative technique simple, this procedure may be the treatment of choice for sacral pressure sores.

摘要

我们采用岛状臀大肌肌皮瓣覆盖骶部压疮。在本报告中,我们描述了13例临床病例的手术解剖、尸体解剖(n = 25)及术后随访(1至40个月)情况。我们的结果与之前其他系列报道的结果相比更具优势。术后并发症较少(n = 2),晚期复发情况可接受(n = 1)。由于手术解剖结构一致且手术技术简单,该手术可能是骶部压疮的首选治疗方法。

相似文献

1
Sacral pressure sores: treatment with island gluteus maximus musculocutaneous flaps.骶部压疮:采用岛状臀大肌肌皮瓣治疗
South Med J. 1985 Oct;78(10):1147-51.
2
[A variant of island flaps for the covering of pressure sores: the hatchet flap. Apropos of 31 cases].[用于覆盖压疮的岛状皮瓣变体:斧形皮瓣。附31例报告]
Ann Chir Plast Esthet. 1994 Aug;39(4):469-72.
3
[Surgical treatment of decubitus ulcers in the area of the ischium, sacrum and trochanter major].
Handchir Mikrochir Plast Chir. 1987 Sep;19(5):277-80.
4
[Occlusion of chronic decubitus ulcers by musculocutaneous gluteus maximus flaps].[应用臀大肌肌皮瓣封闭慢性褥疮]
Handchir Mikrochir Plast Chir. 1983 Jun;15(2):105-8.
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[Covering of chronic sacral ulcers by myocutaneous gluteus maximus island flaps].[应用臀大肌肌皮岛状皮瓣覆盖慢性骶部溃疡]
Handchir Mikrochir Plast Chir. 1985 May;17(3):156-60.
6
[Musculocutaneous island flap using the upper gluteus maximus muscle].[采用臀大肌上部的肌皮岛状皮瓣]
Ann Chir Plast Esthet. 1991;36(2):125-31.
7
Bilateral gluteus maximus V-Y advancement musculocutaneous flaps for the coverage of large sacral pressure sores: revisit and refinement.双侧臀大肌V-Y推进肌皮瓣修复巨大骶尾部压疮:回顾与改进
Ann Plast Surg. 1995 Nov;35(5):492-7. doi: 10.1097/00000637-199511000-00008.
8
[Surgical treatment of pressure sores using the gluteus maximus island flap. A new method].
Ugeskr Laeger. 1982 Aug 16;144(33):2411-4.
9
[Sacral bedsore: an evaluation of 10 years' treatment with the gluteus maximus muscle].
Ann Chir Plast Esthet. 1991;36(2):132-7.
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[Comparative study of 2 surgical techniques in the treatment of ischial pressure ulcers in paraplegic patients. Retrospective study of 90 cases].[截瘫患者坐骨压力性溃疡两种手术治疗技术的比较研究。90例回顾性研究]
Ann Chir Plast Esthet. 2000 Dec;45(6):589-96.

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