Gould W L, Montero N, Cukic J, Hagerty R C, Hester T R
Charleston Plastic Surgery Center, Medical University of South Carolina.
Plast Reconstr Surg. 1994 Feb;93(2):330-6. doi: 10.1097/00006534-199402000-00017.
The "split" gluteus musculocutaneous flap is a useful flap for perineal and ischial reconstruction. The flap uses the superficial 1 to 2 cm of the gluteus muscle, supplied by proximal parasacral perforators. It can be raised simply, quickly, and with minimal blood loss. Importantly, the deep muscle is left in place and remains innervated and well-vascularized. Deep structures are protected, and other flap options are preserved. Anatomic findings based on 16 cadaver dissections (8 cadavers with bilateral dissections) are presented. Representative case reports and our experience with 18 consecutive cases in 17 patients are presented.
“劈开”臀肌肌皮瓣是一种用于会阴和坐骨重建的有用皮瓣。该皮瓣采用臀肌浅面1至2厘米，由骶旁近端穿支供血。它可以简单、快速地掀起，且失血极少。重要的是，深层肌肉保留原位，仍有神经支配且血运良好。深部结构得到保护，其他皮瓣选择也得以保留。本文介绍了基于16例尸体解剖（8例双侧解剖）的解剖学发现。还展示了代表性病例报告以及我们对17例患者连续18例病例的经验。
