蝴蝶形皮瓣修复骶部大面积褥疮

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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.

Key words： pressure sores sacrum surgical flap lumbar artery perforators

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