前路脊柱融合术后并发颈段食管瘘的改良修复：游离网膜瓣与胸大肌瓣对比。4例报告。
Improved repair of cervical esophageal fistula complicating anterior spinal fusion: free omental flap compared with pectoralis major flap. Report of four cases.
作者信息
Reid Russell R, Dutra José, Conley David B, Ondra Stephen L, Dumanian Gregory A
机构信息
Department of Otolaryngology, Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA.
出版信息
J Neurosurg. 2004 Jan;100(1 Suppl Spine):66-70. doi: 10.3171/spi.2004.100.1.0066.
Esophageal injury is a serious complication of anterior cervical fusion. A team approach to the management of these cases is described. The authors performed spinal assessment, control of the fistula, and interposition of a vascularized flap between the spine and the esophagus. They compared the overall efficacy of the pectoralis major flap (pedicled; two cases) and omental flap (free; two cases).
食管损伤是颈椎前路融合术的一种严重并发症。本文描述了一种团队协作处理这些病例的方法。作者进行了脊柱评估、瘘管控制，并在脊柱与食管之间置入带血管蒂皮瓣。他们比较了胸大肌皮瓣（带蒂；2例）和网膜瓣（游离；2例）的总体疗效。
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