肉膜肌转位皮瓣治疗直肠尿道瘘
Dartos muscle interposition flap for the treatment of rectourethral fistulas.
作者信息
Varma Madhulika G, Wang Jennifer Y, Garcia-Aguilar Julio, Shelton Andrew A, McAninch Jack W, Goldberg Stanley M
机构信息
Department of Surgery, Section of Colon and Rectal Surgery, University of California San Francisco, 2330 Post Street, Suite 260, Box 0144, San Francisco, California 94143-0144, USA.
出版信息
Dis Colon Rectum. 2007 Nov;50(11):1849-55. doi: 10.1007/s10350-007-9032-3.
PURPOSE
Rectourethral fistula is a rare complication of pelvic surgery, trauma, or inflammation. The many techniques for repairing these fistulas vary in their success rates. Our goal was to describe the use of a dartos muscle interposition flap for repair of these fistulas.
METHODS
We performed a retrospective review of eight patients who underwent repair of a rectourethral fistula with a dartos muscle interposition flap. We describe the success rate and patient-related factors that may have affected success. The technique of dartos muscle interposition is described and compared with other previously described techniques.
RESULTS
Six of eight patients had healing of their fistulas documented by follow-up cystogram.
CONCLUSIONS
Dartos muscle interposition is a straightforward technique that can result in successful fistula repair but should not be used in patients with risk factors for poor wound healing, such as an immunocompromised state or previous radiation therapy.
目的
直肠尿道瘘是盆腔手术、创伤或炎症的一种罕见并发症。修复这些瘘管的多种技术成功率各不相同。我们的目标是描述使用肉膜肌植入皮瓣修复这些瘘管的情况。
方法
我们对8例接受肉膜肌植入皮瓣修复直肠尿道瘘的患者进行了回顾性研究。我们描述了成功率以及可能影响成功的患者相关因素。描述了肉膜肌植入技术，并与先前描述的其他技术进行了比较。
结果
8例患者中有6例经随访膀胱造影证实瘘管愈合。
结论
肉膜肌植入是一种简单的技术，可成功修复瘘管，但不应应用于存在伤口愈合不良危险因素的患者，如免疫功能低下状态或既往接受过放射治疗。
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