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[背阔肌肌皮瓣在腹壁巨大肿瘤治疗后重建中的应用：附1例罕见病例报告]

[Latissimus dorsi flap in reconstruction following treatment of giant tumor of the abdominal wall: about a rare case].

作者信息

Bourra Karim, El Mazouz Samir

机构信息

Service de Chirurgie Plastique, Hôpital Al Farabi Oujda, Maroc.

Service de Chirurgie Plastique, Hôpital Avicenne, Rabat, Maroc.

出版信息

Pan Afr Med J. 2017 Jul 6;27:181. doi: 10.11604/pamj.2017.27.181.11028. eCollection 2017.

DOI:10.11604/pamj.2017.27.181.11028
PMID:28904708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5579426/
Abstract

We report the case of a 16-year old patient presenting with giant, multinodular, mesenchymal tumor of the abdominal wall occupying the left abdominal region and measuring 25 cm on the vertical axis, 20 cm on the transverse axis, mobile when compared with the deep structures and gradually increasing in volume over childhood and neglected. After small biopsy, which showed desmoid tumor, the patient underwent complete surgical resection of the tumor with immediate reconstruction by free muscolo skin flap of the latissimus dorsi attached to the large blood vessels of the inguinal fold (left iliac artery and left external iliac vein), connected by termino lateral anastomosis. Flap survival was correctly performed and reconstruction was successful.

摘要

我们报告了一例16岁患者的病例，该患者患有巨大的、多结节的腹壁间叶组织肿瘤，占据左腹部区域，垂直轴长25厘米，横轴长20厘米，与深部结构相比可移动，在儿童期体积逐渐增大且被忽视。在进行了显示为硬纤维瘤的小活检后，患者接受了肿瘤的完整手术切除，并立即通过附着于腹股沟皱襞大血管（左髂动脉和左髂外静脉）的背阔肌游离肌皮瓣进行重建，通过端侧吻合连接。皮瓣存活情况良好，重建成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/0a15170e07a3/PAMJ-27-181-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/3e41bde190f5/PAMJ-27-181-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/51d8dcf541b9/PAMJ-27-181-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/75bc6502e47a/PAMJ-27-181-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/fd87c26ccd60/PAMJ-27-181-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/318253aa6171/PAMJ-27-181-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/9a215693119d/PAMJ-27-181-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/0a15170e07a3/PAMJ-27-181-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/3e41bde190f5/PAMJ-27-181-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/51d8dcf541b9/PAMJ-27-181-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/75bc6502e47a/PAMJ-27-181-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/fd87c26ccd60/PAMJ-27-181-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/318253aa6171/PAMJ-27-181-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/9a215693119d/PAMJ-27-181-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eca/5579426/0a15170e07a3/PAMJ-27-181-g007.jpg

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Ann Chir Plast Esthet. 2010 Apr;55(2):87-96. doi: 10.1016/j.anplas.2009.04.004. Epub 2009 Aug 13.
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[背阔肌肌皮瓣供区瘢痕处的腹外硬纤维瘤：病例报告]
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[Coverage an irradiated wound of the lower lumbar area with a latissimus dorsi musculocutaneous free flap by lengthening the vascular pedicle with interpositional vein grafts].[通过插入静脉移植物延长血管蒂，用背阔肌肌皮游离皮瓣覆盖下腰部受辐照伤口]
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[Reconstruction of large scalp and calvarium defects by using the semi-free latissimus dorsi flap associated with methylmethacrylate implant for cranioplasty].[采用背阔肌半游离皮瓣联合甲基丙烯酸甲酯植入物进行颅骨成形术修复大面积头皮及颅骨缺损]
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