【摘要】 目的报告蝴蝶形皮瓣修复骶部大面积褥疮的临床结果。方法自2006年3月至2010年10月间,应用这种技术修复6例(男5例,女1例)骶部大面积褥疮。年龄22~58岁,平均38岁。其中完全性脊髓损伤3例,烫伤2例,脑梗塞1例。均为骶部Ⅳ度褥疮,深度达骨面。创面大小:12cm×14cm~13cm×18cm。每侧皮瓣均以第4腰动脉穿支为蒂,皮瓣轴斜向髂前上棘,皮瓣的外形类似一只蝴蝶。供区缺损一期缝合。结果 1例术后发生表浅感染,经更换敷料逐渐愈合。所有患者经26~52个月随访(平均38个月),皮瓣全部成活。所有缺损均修复成功,没有发生伤口血肿与裂开。骶部褥疮没有复发,取得了较满意的效果。结论蝴蝶形皮瓣技术是修复骶部褥疮较好的治疗方法,当病例选择适当时,并发症少,成功率高。更多还原

【Abstract】 Objective To report the clinical results of the coverage of a large sacral pressure sores with the butterfly flap.Methods Between March 2006 and October 2010,6 cases a large sacral pressure sores(5 men,1 women)were reconstructed with the technique.They ranged in age from 22 to 58 years(mean 38).Of the 6 cases,3 cases were complete spinal cord injury.Two were burn injury.One was cerebral infarction.All of the patients had stage Ⅳ decubitus ulcers that extended to the bone.The pressure sores ranged in size from 12 cm×14 cm to 13 cm×18 cm.Each flap was pedicled on the fourth lumbar artery perforators,The flaps designed with the axis obique to the anterior superior iliac spine.The configuration of the flaps resembles a butterfly.Donor sites defect were closed primarily.Results One case sustained superficial infection postoperative and the gradual wound healed by daily wound dressings.All patients were followed-up from 26 to 52 months(mean,38 months).All flaps survived;hematoma,or wound dehiscence was not observed.No recurrence of the sacral pressure sores occurred with satisfactory clinical results.Conclusion The butterfly flap technique is a reliable surgical method for sacral pressure sores reconstruction.When used in appropriate cases,there is minimal morbidity and the outcome is highly successful.更多还原