盆腔脏器清除术后的外阴重建，采用两种皮瓣的独特组合。
Vulva reconstruction after pelvic exenteration, using a unique combination of two flaps.
作者信息
van Bommel Annelotte C M, Schreuder Henk W R, Schellekens Pascal P A
机构信息
Department of Plastic and Reconstructive Surgery, University Medical Centre, Utrecht, Netherlands.
出版信息
BMJ Case Rep. 2011 Jun 17;2011:bcr0120113717. doi: 10.1136/bcr.01.2011.3717.
A 64-year-old woman with recurrence of carcinoma of the vulva in an irradiated area received an en-bloc total pelvic exenteration. Reconstruction of the pelvic defect was performed with an anterolateral thigh (ALT) flap and a rectus abdominis muscle (RAM) flap (PM/RAM). This combination of flaps is unique, with excellent results. In a large defect, often irradiated in advance, well-vascularised tissue should be placed. Multiple flaps can be used to reconstruct these large pelvic defects, each with their own advantages and disadvantages. The combination of flaps used in this case uses the good properties of both flaps: the reliable and well-vascularised PM/RAM in combination with the ALT flap to provide much bulk in extreme large defects.
一名64岁女性，外阴癌在放疗区域复发，接受了整块全盆腔脏器切除术。采用股前外侧皮瓣（ALT）和腹直肌瓣（RAM）（PM/RAM）修复盆腔缺损。这种皮瓣组合独特，效果极佳。在通常预先接受过放疗的大缺损中，应置入血运良好的组织。可使用多个皮瓣修复这些大的盆腔缺损，每个皮瓣都有其优缺点。本例使用的皮瓣组合利用了两种皮瓣的良好特性：可靠且血运良好的PM/RAM与ALT皮瓣相结合，以在极大缺损中提供大量组织。
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