摘要
自1983年10月～1989年9月采用臀大肌下部肌皮瓣转位修复骶尾、坐骨结节、大转子等部位褥疮16例17处,取得较好效果。
16 cases of decubitus ulcers in the sacral,ischiadic and great trochanter regions were treated with rotating myocutaneous flap of the caudal portion of the gluteus maximus from 1983 to 1989.They were followed up for 3 to 68 months,with the exception of 4 patients The results were excellent. 30 gluteus regions were studied in 15 cadavers.It was found that the caudal 3/4 of the gluteus maximus muscle was supplied by the inferior gluteal artery,and a flap measuring 12.9×9.7 cm could be formed therein with easy dissection.The flap tolerates pressure well. Unilateral flap is adequate to cover a decubitus ulcer within a diameter of 10cm,while bilateral flaps are necessary for a larger ulcer.
