KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT KHUYẾT HỔNG VÙNG CÙNG CỤT DO LOÉT TỲ ĐÈ BẮNG VẠT NHÁNH XUYÊN ĐỘNG MẠCH MÔNG TRÊN TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Introduction: The development of superior gluteal artery perforator flap helps the surgeon obtain fascia skin flaps with a large area, wide rotation, no effect on the main vessel, and limited regional deformation for the flap. The main results show that the perforating branch skin flap is the best choice in the treatment of pressure ulcers along with the sacroiliac and scrotum. Methods: A cross-sectional descriptive study of 30 patients who were operated sacrococcy sores due to pressure ulcer with superior gluteal artery. Results: Multiple trauma, exhaustion was the most common cause, accounting for 43.3%. The largest flap size is 18x20cm, 76.7% used V-Y flap, propeller flaps (island form) were 23.3%. Flap condition: 96.7% flaps is completely alive. Early treatment results: 66.7% good, 23.3% moderate. Treatment results after 3 months: good 80,0%, moderate 13,3%, bad 6,7%. Conclusion: The superior gluteal artery perforator flap is safe, effective, and is the best option for treating sacrococcy sores in the region  due to pressure ulcers III, IV.