使用两个皮瓣成功闭合气管切开术后的气管皮肤瘘：一例报告
Successful closure of a tracheocutaneous fistula after tracheostomy using two skin flaps: a case report.
作者信息
Watanabe Yui, Umehara Tadashi, Harada Aya, Aoki Masaya, Tokunaga Takuya, Suzuki Soichi, Kamimura Go, Wakida Kazuhiro, Nagata Toshiyuki, Otsuka Tsunayuki, Yokomakura Naoya, Kariatsumari Kota, Nakamura Yoshihiro, Watanabe Yuko, Sato Masami
机构信息
Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8570, Japan.
Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
出版信息
Surg Case Rep. 2015 Dec;1(1):43. doi: 10.1186/s40792-015-0045-1. Epub 2015 May 27.
A tracheocutaneous fistula may develop when a tracheostomy orifice epithelializes during a prolonged course of healing or undernutrition. Various techniques for closing such fistulae have been reported. However, a standard procedure has not yet been established. We, herein, present a case involving a 35-year-old woman who developed a tracheocutaneous fistula after tracheostomy. We closed the fistula using two skin flaps to cover the tracheal lumen and skin defect, respectively. The advantage of this technique is that it allows the tracheal lumen to be covered by inversed skin epithelium and ensures that the suture line of the skin does not match up with that of the subcutaneous tissue.
当气管造口在长期愈合过程中或营养不良时上皮化，可能会形成气管皮肤瘘。已经报道了多种闭合此类瘘管的技术。然而，尚未建立标准程序。在此，我们报告一例35岁女性在气管造口术后发生气管皮肤瘘的病例。我们使用两个皮瓣分别覆盖气管腔和皮肤缺损来闭合瘘管。该技术的优点是气管腔可被反转的皮肤上皮覆盖，并确保皮肤缝线与皮下组织缝线不重合。
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