整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
Dufourmental flap を併用した大殿筋皮弁による殿部褥瘡治療
濱井 敏井原 和彦島田 信治別府 達也河合 浩二竹下 都多夫佐藤 陽昨
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2004 年 53 巻 2 号 p. 385-388

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We surgically treated six patients with decubitus ulcers with gluteus maximus myocutaneous flap. The six cases comprised of three men and three women ranging in age from 47 to 89 years (mean: 60 years). Four had sacral decubitus ulcers and two had sciatic decubitus ulcers. Lesions ranged in size from 6 × 4 cm to 16×12 cm and all were evaluated as Shea type IV.
Surgical treatment produced gratifying results, completely curing the ducubitus ulcers in all six patients. Of these six patients, five were treated with gluteus maximus myocutaneous flap combining Dufourmentel flap and the remaining one by gluteus maximus myocutaneous flap only because the flap could not be transferred sufficiently to cover the decubitus ulcer. In general, this method seems to be technically safe.
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© 2004 西日本整形・災害外科学会
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