Yamamoto Y, Ohura T, Shintomi Y, Sugihara T, Nohira K, Igawa H
Department of Plastic and Reconstructive Surgery, University of Hokkaido, Sapporo, Japan.
Ann Plast Surg. 1993 Feb;30(2):116-21. doi: 10.1097/00000637-199302000-00004.
The gluteal maximus muscle has been used in the treatment of sacral pressure sores since the 1970s. However, it is noted that the muscle portion of the transferred flap shows highly atrophic degeneration and the muscle itself is not suitable tissue for covering the pressure-bearing area. We have managed various fasciocutaneous flaps as the first choice for reconstruction of sacral pressure sores and obtained good results. The fasciocutaneous flap has an anatomical structure that resists physical stimulation or external pressure and an abundant blood supply via its fascial plexus. In addition, if we use a gluteal maximus myocutaneous flap at first, some fasciocutaneous flaps are compromised because of the design and blood supply. We suggest that the fasciocutaneous flap has the first priority and is superior to the gluteal maximus myocutaneous and muscle flaps in reconstruction of sacral pressure sores.
自20世纪70年代以来，臀大肌就被用于治疗骶部压疮。然而，值得注意的是，转移皮瓣的肌肉部分显示出高度萎缩性退变，且肌肉本身并非覆盖受压区域的合适组织。我们已将各种筋膜皮瓣作为骶部压疮重建的首选方法，并取得了良好效果。筋膜皮瓣具有抵抗物理刺激或外部压力的解剖结构，且通过其筋膜丛有丰富的血液供应。此外，如果我们首先使用臀大肌肌皮瓣，一些筋膜皮瓣会因设计和血液供应而受到影响。我们认为，在骶部压疮重建中，筋膜皮瓣具有首要地位，优于臀大肌肌皮瓣和肌肉皮瓣。
