使用同种异体皮肤移植闭合大型脊髓脊膜膨出：技术病例报告。
Use of allogeneic skin graft for the closure of large meningomyeloceles: technical case report.
作者信息
Danish Shabbar F, Samdani Amer F, Storm Phillip B, Sutton Leslie
机构信息
Division of Neurosurgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
出版信息
Neurosurgery. 2006 Apr;58(4 Suppl 2):ONS-E376; discussion ONS-E376. doi: 10.1227/01.NEU.0000205437.75791.E6.
OBJECTIVE AND IMPORTANCE
To describe an alternative approach to the operative management of large meningomyeloceles, in which primary closure is not possible.
CLINICAL PRESENTATION
Two full-term infants presented with very large meningomyeloceles for closure after an uncomplicated delivery.
TECHNIQUE
An allogeneic skin graft was used in both cases to approximate the skin defect that remained after removal of the large meningomyelocele sacs. The surgical site was treated with dressing changes only during the postoperative period.
CONCLUSION
The independent use of allogeneic skin grafts can lead to a successful cosmetic result for the treatment of large meningomyeloceles without the use of complicated skin incisions or flap advancements.
目的与重要性
描述一种用于无法进行一期缝合的大型脊髓脊膜膨出手术治疗的替代方法。
临床表现
两名足月儿在顺产无并发症后出现非常大的脊髓脊膜膨出，需进行缝合。
技术
两例均使用同种异体皮肤移植来闭合在切除大型脊髓脊膜膨出囊后残留的皮肤缺损。术后仅通过更换敷料处理手术部位。
结论
单独使用同种异体皮肤移植可成功实现大型脊髓脊膜膨出治疗的美容效果，无需采用复杂的皮肤切口或皮瓣推进术。
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