Classen Dale A, Thomson Chris
Division of Plastic Surgery, Royal University Hospital, Saskatoon, Saskatchewan, Canada.
J Cutan Med Surg. 2002 Jul-Aug;6(4):327-31. doi: 10.1007/s10227-001-0053-6. Epub 2002 Jul 16.
Pyoderma gangrenosum is a necrotizing skin disorder of unknown cause. Treatment of pyoderma gangrenosum usually entails medical treatments. Surgical treatment is generally not successful.
Two patients with pyoderma gangrenosum of their lower extremities are presented. The application and utility of microvascular free flap coverage of their ulcers is discussed.
Both patients achieved successful healing with microvascular free flaps.
Microvascular free flap coverage may be a surgical treatment option for selected patients with pyoderma gangrenosum.
坏疽性脓皮病是一种病因不明的坏死性皮肤病。坏疽性脓皮病的治疗通常需要药物治疗。手术治疗一般不成功。
介绍两名下肢患有坏疽性脓皮病的患者。讨论微血管游离皮瓣覆盖其溃疡的应用及效用。
两名患者均通过微血管游离皮瓣成功治愈。
微血管游离皮瓣覆盖术可能是部分坏疽性脓皮病患者的一种手术治疗选择。