Lee H B, Kim S W, Lew D H, Shin K S
Department of Plastic and Reconstructive Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.
Plast Reconstr Surg. 1997 Aug;100(2):340-5; discussion 346-9. doi: 10.1097/00006534-199708000-00009.
We have devised a modified technique using the gluteus maximus musculocutaneous flap as multilayered sliding V-Y advancement to cover pressure sores on the sacral area. Nine patients with relatively large (average 7 x 7 cm) sacral grade IV pressure sores underwent unilateral multilayered V-Y advancement flap. All patients were followed for a minimum of 8 weeks. The mean postoperative follow-up was 32.3 months, with a range of 24 to 39 months. Using this technique, the success of surgery, i.e., the percentage of sores that healed, was 100 percent in our patients. The advantages of this technique include sufficient advancement of the flap, coverage of large ulcer defects using only a unilateral musculocutaneous flap, and preservation of the contralateral gluteus maximus muscle for future use.
我们设计了一种改良技术，使用臀大肌肌皮瓣进行多层滑动V-Y推进，以覆盖骶部的压疮。9例患有相对较大（平均7×7厘米）的骶部IV级压疮的患者接受了单侧多层V-Y推进皮瓣手术。所有患者至少随访8周。术后平均随访32.3个月，范围为24至39个月。采用该技术，我们患者的手术成功率，即疮口愈合的百分比为100%。该技术的优点包括皮瓣推进充分，仅使用单侧肌皮瓣即可覆盖大的溃疡缺损，以及保留对侧臀大肌以备将来使用。
