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腹直肌肌皮会阴/阴道瓣脱垂的修复选择：病例系列

Options for repair of rectus abdominis myocutaneous perineal/vaginal flap prolapse: A case series.

作者信息

Huffman Laura B, Randolph Laura K, McCann Georgia A, Billingsley Caroline, Hopkins Michael P, Cohn David E, Hundley Andrew F

机构信息

Department of Obstetrics and Gynecology, The Wexner Medical Center at the Ohio State University, 395 West 12th Avenue, 5th Floor, Columbus, OH 43210, USA.

Department of Obstetrics and Gynecology, Aultman Hospital, 2600 Sixth Street, Canton, OH 44710, USA.

出版信息

Gynecol Oncol Case Rep. 2013 Oct 16;7:1-3. doi: 10.1016/j.gynor.2013.10.001. eCollection 2014 Jan.

DOI:10.1016/j.gynor.2013.10.001
PMID:24624318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3895284/
Abstract

•The VRAM flap is commonly used for perineal and vaginal reconstruction at the time of pelvic exenteration.•Prolapse of the VRAM flap may be under reported.•We have shown successful repair of VRAM flap prolapse via an obliterative technique and sacral suspension.

摘要

•腹直肌前鞘肌皮瓣（VRAM瓣）常用于盆腔脏器清除术时的会阴和阴道重建。

•VRAM瓣脱垂的报道可能不足。

•我们已证明通过闭塞技术和骶骨固定术可成功修复VRAM瓣脱垂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a28/3895284/cb99941af811/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a28/3895284/64b24d3d7210/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a28/3895284/538dc9b0252c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a28/3895284/cb99941af811/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a28/3895284/64b24d3d7210/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a28/3895284/538dc9b0252c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a28/3895284/cb99941af811/gr3.jpg

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本文引用的文献

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Epidemiology and prevalence of pelvic organ prolapse.盆腔器官脱垂的流行病学和患病率。
Curr Opin Urol. 2013 Jul;23(4):293-8. doi: 10.1097/MOU.0b013e3283619ed0.
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Pelvic floor disorders following vaginal or cesarean delivery.阴道分娩或剖宫产术后盆底障碍。
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Complete excision of pelvic viscera for advanced carcinoma; a one-stage abdominoperineal operation with end colostomy and bilateral ureteral implantation into the colon above the colostomy.晚期癌肿盆腔脏器的根治性切除；一期腹会阴联合手术，行乙状结肠造口术，并将双侧输尿管植入造口上方的结肠。
Cancer. 1948 Jul;1(2):177-83. doi: 10.1002/1097-0142(194807)1:2<177::aid-cncr2820010203>3.0.co;2-a.
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Outcomes of immediate vertical rectus abdominis myocutaneous flap reconstruction for irradiated abdominoperineal resection defects.即刻腹直肌肌皮瓣重建术治疗放射性腹会阴切除术后缺损的疗效
J Am Coll Surg. 2008 Apr;206(4):694-703. doi: 10.1016/j.jamcollsurg.2007.12.007. Epub 2008 Feb 11.
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Total pelvic exenteration: the Albert Einstein College of Medicine/Montefiore Medical Center Experience (1987 to 2003).全盆腔脏器切除术：阿尔伯特·爱因斯坦医学院/蒙特菲奥里医疗中心的经验（1987年至2003年）
Gynecol Oncol. 2006 May;101(2):261-8. doi: 10.1016/j.ygyno.2005.10.011. Epub 2006 Jan 19.
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A comparison of 99 consecutive vaginal reconstructions: an outcome study.99例连续阴道重建术的比较：一项结果研究。
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