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[用上腹部岛状皮瓣进行阴道重建]

[Vaginal reconstruction with an upper abdominal island flap].

作者信息

Xiong S W

机构信息

Department of Plastic Surgery, Affiliated Hospital of Bengbu Medical College, Anhui.

出版信息

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1991 Sep;7(3):177-9, 237.

PMID:1782582
Abstract

This paper presents a method for vaginal reconstruction. On the basis of anatomic studies, we designed an island flap obtained from the upper abdomen, with the blood supply from the deep inferior epigastric artery. At the time of operation, this flap was transferred under the symphysis pubis to the artificial space created between the urinary bladder and rectum. The operation was done on 7 patients and complete survival of the flap was seen in 6 cases. The failure was due to a twist of the flap vessel pedicle. The patients were followed up for 6 months to 2 years, and it was found that the vaginal wall was not only pliable but elastic, and the married patients enjoyed a satisfactory sexual life.

摘要

本文介绍了一种阴道重建方法。在解剖学研究的基础上,我们设计了一种取自上腹部的岛状皮瓣,其血供来自腹壁下深动脉。手术时,将该皮瓣转移至耻骨联合下方,置于膀胱与直肠之间所形成的人工间隙。对7例患者实施了该手术,6例皮瓣完全存活。失败1例,原因是皮瓣血管蒂扭转。对患者随访6个月至2年,发现阴道壁不仅柔软而且有弹性,已婚患者性生活满意。

相似文献

1
[Vaginal reconstruction with an upper abdominal island flap].[用上腹部岛状皮瓣进行阴道重建]
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1991 Sep;7(3):177-9, 237.
2
Vaginal reconstruction with an island flap of the inferior epigastric vascular pedicle.下腹血管蒂岛状皮瓣阴道再造术
Plast Reconstr Surg. 1993 Aug;92(2):271-5. doi: 10.1097/00006534-199308000-00011.
3
Vaginal reconstruction with an axial subcutaneous pedicle flap from the inferior abdominal wall: a new method.下腹壁带蒂轴型皮下组织瓣阴道再造术:一种新方法。
Plast Reconstr Surg. 1989 Jun;83(6):1005-12. doi: 10.1097/00006534-198906000-00013.
4
Vaginal reconstruction using perineal-thigh flaps with subcutaneous pedicle.使用带皮下蒂的会阴-大腿皮瓣进行阴道重建。
Chin Med Sci J. 1991 Mar;6(1):14-7.
5
Refinements in vaginal reconstruction using rectus abdominis flaps.使用腹直肌皮瓣进行阴道重建的改进。
Clin Plast Surg. 1990 Oct;17(4):705-12.
6
[Vaginal reconstruction with pedicled deep inferior epigastric perforator flap].
Zhonghua Zheng Xing Wai Ke Za Zhi. 2009 Jan;25(1):8-10.
7
Vaginal reconstruction with bilateral island "extended" groin flaps: description of a personal technique.
Plast Reconstr Surg. 1994 Dec;94(7):1079-84. doi: 10.1097/00006534-199412000-00027.
8
[Experience of vaginal reconstruction by using a pudendal-thigh island flaps].[应用阴部-大腿岛状皮瓣进行阴道重建的经验]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2003 May;19(3):183-5.
9
[One-stage vagina reconstruction using free flaps].[使用游离皮瓣的一期阴道重建术]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2000 Jul;16(4):203-5.
10
[Vagina reconstruction with perineal axial flaps].[会阴部轴型皮瓣阴道重建术]
Zhonghua Wai Ke Za Zhi. 1990 Sep;28(9):552-3, 574.