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- The Transverse Lumbosacral Back Flap for Salvage of Sacral Pressure Sore after Gluteus Maximus Musculocutaneous Flap Failure
- Gluteus Maximus Myocutaneous Flap in Sacral Pressure Sore Treatment--Comparision between Island and Bilateral V-Y Advancement Design
- 薦部褥瘡之手術治療
- Flap from the Gluteal Crease for Sacral Sore Reconstruction
- Modification of Superior Gluteal Artery Perforator Flap for Reconstruction of Sacral Sores
- 褥瘡的外科治療
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題名 | The Transverse Lumbosacral Back Flap for Salvage of Sacral Pressure Sore after Gluteus Maximus Musculocutaneous Flap Failure=利用橫向腰薦下背皮瓣治療經臀大肌肌皮瓣移轉失敗之薦部褥瘡 |
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作者 | 徐矢達; 陳錫根; 鄭天宇; 周聰鐸; 陳紹良; 陳天牧; 王先震; Hsu, Shih-dar; Chen, Shyi-gen; Cheng, Tan-yeu; Chou, Trong-duo; Chen, Shao-liang; Chen, Tim-mo; Wang, Hsian-jenn; |
期刊 | 中華民國整形外科醫學會雜誌 |
出版日期 | 20000600 |
卷期 | 9:2 2000.06[民89.06] |
頁次 | 頁98-105 |
分類號 | 416.413 |
語文 | eng |
關鍵詞 | 橫向腰薦下背皮瓣; 臀大肌肌皮瓣; 薦部褥瘡; Sacral pressure sore; Transverse lumbosacral back flap; |
中文摘要 | 在長期性臥床及脊髓受損病患,經臀大肌肌皮瓣移轉失敗之薦部褥瘡相當常見。其嚴重者亦難以治療。因其臀大肌皮瓣已於前次手術中使用,故增加再次手術困難度。此時橫向腰薦下背皮瓣便成為手術治療之較佳選擇。本科於1992年1月至1997年1月,應用橫向腰薦下背皮瓣治療12位經臀大肌肌皮瓣移轉失敗之復發性薦部褥瘡病患。平均年齡52.7歲,平均追蹤時間為18個月。其中10位病患手術後傷口癒合良好,2位病患於皮瓣遠端小部份壞死,經擴創術及植皮後,傷口癒合良好。2位病患於追蹤期間因本身原有疾病死亡。因此在經臀大肌肌皮瓣移轉失敗之復發性薦部褥瘡病患中,無適當臀大肌皮瓣可運用時,橫向腰薦下背皮瓣為不得已的另一個選擇。 |
英文摘要 | Reconstruction for the sacral pressure sore after failed gluteus maximus musculocutaneous flap transfer is challenging to the plastic surgeon. In the condition of no available gluteus maximus musculocutaneous flaps, the transverse lumbosacral back flap may be used for salvage. The study is designed to review the reliability and versatility of the transverse lumbosacral back flap based on 12 consecutive patients in the past 5 years. With an average follow-up of 18 months (6 to 25 months), complete wound healing was achieved in 10 patients (83.3%). Two flaps had distal necrosis, of which required reinsertion of the flap and skin grafting. All donor sites were closed with skin graft. Based on results of our clinical experience, this flap is recommended as an another option for salvage of failed gluteus maximus musculocutaneous flap coverage of sacral pressure sore. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。