文献简介

出版社:Journal of Plastic, Reconstructive & Aesthetic Surgery

作  者:H. Sakurai, M. Nozaki, Y. Nakano, M. Takeuchi, T. Yamaki

编  号:

关键字:Total ischiectomy; Urethra; Decubitus ulcer; Sensory plantar flap

年  份:2008   点击量:690

文献摘要

Abstract:

We report a case of bilateral ischial pressure sores complicated with urethral fistula, caused by previous complete ischiectomy. Successful reconstruction was achieved after closure of the bladder neck. The large defect in the bilateral ischium and perineum was covered simultaneously with a free total plantar flap. The paucity of suitable recipient vessels for microvascular anastomoses was resolved by the creation of an arteriovenous loop, when the closure of bladder neck was performed in a supine position.
摘要:
我们报道了一例由先前的完全髋部分切除术引起双侧坐骨褥疮并发尿道瘘的患者病例。膀胱颈封堵后获得了成功重建。采用一个分离的足底皮瓣同时覆盖双侧坐骨和会阴部的大的缺损。当位于仰卧位时进行了膀胱颈封堵,用于微血管吻合的少量合适的受体血管通过建立动静脉循环得到解决。