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双侧带蒂腹壁浅动脉皮瓣治疗化脓性汗腺炎

Bilateral Pedicled Superficial Inferior Epigastric Artery Flap in the Treatment of Hidradenitis Suppurativa.

作者信息

Hoang Don, Chen Vivi, Saber Sepideh, Patel Ketan, Carey Joseph

机构信息

Department of Plastic and Reconstructive Surgery, Keck School of Medicine of University of Southern California, Los Angeles, Calif.

出版信息

Plast Reconstr Surg Glob Open. 2016 Aug 15;4(8):e833. doi: 10.1097/GOX.0000000000000847. eCollection 2016 Aug.

DOI:10.1097/GOX.0000000000000847
PMID:27622101
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5010324/
Abstract

The authors present a new technique in surgically treating hidradenitis suppurativa (HS), a debilitating skin condition. In HS, surgical treatment is often the best option because of the high recurrence rates despite extensive medical treatment. A commonly successful surgical method is using skin flaps after excision of the affected area. A superficial inferior epigastric artery flap is demonstrated here as a new alternative approach to treating a case of extensive HS of the groin. By using the pedicled superficial inferior epigastric artery flap for groin reconstruction, inguinal HS can be widely excised and reconstructed with minimal donor-site morbidity and a good aesthetic outcome.

摘要

作者介绍了一种治疗化脓性汗腺炎（HS）的新技术，这是一种使人衰弱的皮肤病。在HS中，由于尽管进行了广泛的药物治疗但复发率仍很高，手术治疗通常是最佳选择。一种常用的成功手术方法是在切除受影响区域后使用皮瓣。本文展示了一种腹壁下浅动脉皮瓣，作为治疗一例广泛腹股沟HS的新替代方法。通过使用带蒂腹壁下浅动脉皮瓣进行腹股沟重建，可以广泛切除腹股沟HS并进行重建，供区并发症最少，美学效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50a/5010324/4c579d5e75f0/gox-4-0e833-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50a/5010324/2d6d0c628e2b/gox-4-0e833-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50a/5010324/4e03351f6bf5/gox-4-0e833-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50a/5010324/fb029499e870/gox-4-0e833-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50a/5010324/4c579d5e75f0/gox-4-0e833-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50a/5010324/2d6d0c628e2b/gox-4-0e833-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50a/5010324/4e03351f6bf5/gox-4-0e833-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50a/5010324/fb029499e870/gox-4-0e833-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50a/5010324/4c579d5e75f0/gox-4-0e833-g004.jpg

相似文献

1
Bilateral Pedicled Superficial Inferior Epigastric Artery Flap in the Treatment of Hidradenitis Suppurativa.双侧带蒂腹壁浅动脉皮瓣治疗化脓性汗腺炎
Plast Reconstr Surg Glob Open. 2016 Aug 15;4(8):e833. doi: 10.1097/GOX.0000000000000847. eCollection 2016 Aug.
2
Outcome of Pedicled Thoracodorsal Artery Perforator Flap in the Surgical Treatment of Stage II and III Hidradenitis Suppurativa of Axilla.带蒂胸背动脉穿支皮瓣在Ⅱ、Ⅲ期腋窝化脓性汗腺炎手术治疗中的疗效
Ann Plast Surg. 2018 Dec;81(6):688-693. doi: 10.1097/SAP.0000000000001658.
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Reconstruction for extensive groin hidradenitis suppurativa using a combination of inferior abdominal flap and medial thigh-lift: a case report.使用下腹皮瓣和大腿内侧提升术联合治疗广泛型腹股沟化脓性汗腺炎：病例报告
Aesthetic Plast Surg. 2014 Aug;38(4):745-8. doi: 10.1007/s00266-014-0335-1. Epub 2014 Jun 6.
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An Innovative Solution to Complex Inguinal Defect: Deepithelialized SIEA Flap With Mini Abdominoplasty.复杂腹股沟缺损的创新解决方案：带微型腹壁成形术的去上皮化腹壁下浅动脉穿支皮瓣
Eplasty. 2017 Jan 25;17:e2. eCollection 2017.
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Combined Use of an Anterolateral Thigh Flap and Superficial Inferior Epigastric Artery Flap for Reconstruction of an Extensive Abdominal Wall Defect.股前外侧皮瓣联合腹壁下浅动脉皮瓣修复大面积腹壁缺损
Plast Reconstr Surg Glob Open. 2016 Nov 28;4(11):e1121. doi: 10.1097/GOX.0000000000001121. eCollection 2016 Nov.
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[Establishment and application of three-dimensional model of deep inferior epigastric artery perforator flap based on computed tomography angiography].基于计算机断层扫描血管造影术的腹壁下动脉穿支皮瓣三维模型的建立与应用
Zhonghua Shao Shang Za Zhi. 2018 May 20;34(5):297-302. doi: 10.3760/cma.j.issn.1009-2587.2018.05.010.
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Surgical treatment of severe hidradenitis suppurativa of the axilla: thoracodorsal artery perforator (TDAP) flap versus split skin graft.腋窝部重度化脓性汗腺炎的外科治疗：胸背动脉穿支（TDAP）皮瓣与中厚皮片移植的对比
J Plast Reconstr Aesthet Surg. 2014 Aug;67(8):1118-24. doi: 10.1016/j.bjps.2014.04.032. Epub 2014 May 15.
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Axillary hidradenitis suppurativa: a further option for surgical treatment.化脓性汗腺炎：手术治疗的另一种选择。
J Cutan Med Surg. 2004 Jan-Feb;8(1):6-10. doi: 10.1007/s10227-003-0162-5. Epub 2004 Jan 23.
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Reconstruction after Excision of Hidradenitis Suppurativa: Are Skin Grafts Better than Flaps?化脓性汗腺炎切除术后的重建：皮肤移植比皮瓣更好吗？
Plast Reconstr Surg Glob Open. 2016 Nov 10;4(11):e1128. doi: 10.1097/GOX.0000000000001128. eCollection 2016 Nov.
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Breast reconstruction with superficial inferior epigastric artery flaps: a prospective comparison with TRAM and DIEP flaps.腹壁下浅动脉皮瓣乳房重建：与横行腹直肌肌皮瓣及腹壁下动脉穿支皮瓣的前瞻性比较
Plast Reconstr Surg. 2004 Oct;114(5):1077-83; discussion 1084-5. doi: 10.1097/01.prs.0000135328.88101.53.

引用本文的文献

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Outcomes and Reliability of Perforator Flaps in the Reconstruction of Hidradenitis Suppurativa Defects: A Systemic Review and Meta-Analysis.穿支皮瓣修复化脓性汗腺炎缺损的疗效与可靠性：一项系统评价与Meta分析
J Clin Med. 2022 Sep 30;11(19):5813. doi: 10.3390/jcm11195813.
2
Reconstruction of bilateral inferomedial gluteal defects after resection of hidradenitis suppurativa with symmetrical keystone flaps designed parallel to relaxed skin-tension lines: A case report.采用平行于皮肤松弛张力线设计的对称关键皮瓣修复化脓性汗腺炎切除术后双侧臀内侧缺损：1例报告
Medicine (Baltimore). 2020 Apr;99(14):e19779. doi: 10.1097/MD.0000000000019779.

本文引用的文献

1
An Algorithmic Anatomical Subunit Approach to Pelvic Wound Reconstruction.一种用于盆腔伤口重建的算法解剖亚单位方法。
Plast Reconstr Surg. 2016 Mar;137(3):1004-1017. doi: 10.1097/01.prs.0000479973.45051.b6.
2
Groin reconstruction using a pedicled anterolateral thigh flap.使用带蒂股前外侧皮瓣进行腹股沟重建。
J Visc Surg. 2016 Feb;153(1):77-80. doi: 10.1016/j.jviscsurg.2015.11.012. Epub 2015 Dec 21.
3
Surgical treatment of severe hidradenitis suppurativa of the axilla: thoracodorsal artery perforator (TDAP) flap versus split skin graft.腋窝部重度化脓性汗腺炎的外科治疗：胸背动脉穿支（TDAP）皮瓣与中厚皮片移植的对比
J Plast Reconstr Aesthet Surg. 2014 Aug;67(8):1118-24. doi: 10.1016/j.bjps.2014.04.032. Epub 2014 May 15.
4
Discussion: The anterolateral thigh flap for groin and lower abdominal defects: a better alternative to the rectus abdominis flap.
Plast Reconstr Surg. 2014 Jan;133(1):169-170. doi: 10.1097/01.prs.0000437227.92681.a2.
5
Diagnosis and management of hidradenitis suppurativa.化脓性汗腺炎的诊断与管理
BMJ. 2013 Apr 23;346:f2121. doi: 10.1136/bmj.f2121.
6
Clinical practice. Hidradenitis suppurativa.临床实践。化脓性汗腺炎。
N Engl J Med. 2012 Jan 12;366(2):158-64. doi: 10.1056/NEJMcp1014163.
7
Surgical approach to extensive hidradenitis suppurativa.广泛化脓性汗腺炎的手术治疗方法。
Dermatol Surg. 2011 Jun;37(6):835-42. doi: 10.1111/j.1524-4725.2011.01961..x.
8
Quality of life impairment in hidradenitis suppurativa: a study of 61 cases.化脓性汗腺炎患者的生活质量受损情况：一项61例病例的研究。
J Am Acad Dermatol. 2007 Apr;56(4):621-3. doi: 10.1016/j.jaad.2006.08.061. Epub 2006 Oct 20.