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采用“基于臀大肌下极的 V-Y 肌皮推进皮瓣”进行全臀重建术。

Total Gluteal Reconstruction with "IGA-based V-Y Myocutaneous Advancement Flap".

作者信息

Vathulya Madhubari, Nath Amborish, Jain Manish, Seenivasagam Rajkumar Kottayasamy

机构信息

Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Department of Oncosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

Indian J Plast Surg. 2019 Sep;52(3):355-357. doi: 10.1055/s-0039-3400675. Epub 2019 Nov 28.

DOI:10.1055/s-0039-3400675
PMID:31908375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6938425/
Abstract

A 44-year-old man was presented with chronic discharging multiple perianal fistula and squamous cell carcinoma of the left buttock.  The patient was subjected to wide local excision of the entire left gluteal and adjacent sacral regions and reconstruction with extended island inferior gluteal artery based V-Y myocutaneous advancement flap.  Extended island inferior gluteal based V-Y flap can be a good option for extensive defects involving the gluteal region and the sacrum.

摘要

一名44岁男性患者，患有慢性多发性肛周瘘管及左臀部鳞状细胞癌。该患者接受了左侧整个臀区及相邻骶骨区域的广泛局部切除，并采用基于臀下动脉的延长岛状V-Y肌皮推进皮瓣进行重建。对于涉及臀区和骶骨的广泛缺损，基于臀下动脉的延长岛状V-Y皮瓣可能是一个不错的选择。

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Indian J Plast Surg. 2019 Sep;52(3):355-357. doi: 10.1055/s-0039-3400675. Epub 2019 Nov 28.
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本文引用的文献

1
Reconstruction of Radiated Gluteal Defects following Sarcoma Resection with Pedicled Sensate Tensor Fascia Lata Flaps.带蒂感觉性阔筋膜张肌皮瓣修复肉瘤切除术后放射性臀肌缺损
Case Rep Oncol Med. 2015;2015:971037. doi: 10.1155/2015/971037. Epub 2015 Aug 3.
2
Use of intercostal perforating veins and long arterial grafts for latissimus myocutaneous free flap reconstruction of radiated low back wounds.使用肋间穿支静脉和长动脉移植物进行放射性下背部伤口的背阔肌肌皮瓣游离重建。
J Reconstr Microsurg. 2015 Jun;31(5):396-400. doi: 10.1055/s-0035-1546293. Epub 2015 Mar 13.
3
Nearly total unilateral buttock reconstruction with a proximally pedicled anterolateral thigh flap: a case report.
采用近端蒂前外侧股皮瓣行近全侧臀部再造：1 例报告。
J Plast Reconstr Aesthet Surg. 2013 Jun;66(6):e166-8. doi: 10.1016/j.bjps.2013.01.036. Epub 2013 Mar 5.
4
Reconstruction of gluteal defects using free flaps.游离皮瓣重建臀部缺损。
J Plast Reconstr Aesthet Surg. 2013 Aug;66(8):1149-52. doi: 10.1016/j.bjps.2012.12.029. Epub 2013 Jan 5.
5
Squamous cell carcinoma associated anal fistulas in Crohn's disease unique case report with literature review.克罗恩病相关的鳞状细胞癌性肛痿：1 例独特病例报告并文献复习。
J Crohns Colitis. 2013 Jul;7(6):e232-5. doi: 10.1016/j.crohns.2012.09.015. Epub 2012 Oct 12.
6
Trunk, abdomen, and pressure sore reconstruction.躯干、腹部和压疮重建。
Plast Reconstr Surg. 2011 Sep;128(3):201e-215e. doi: 10.1097/PRS.0b013e31822214c1.
7
The utility of the posterior thigh flap for complex pelvic and perineal reconstruction.股后皮瓣在复杂骨盆和会阴重建中的应用。
Plast Reconstr Surg. 2010 Jul;126(1):146-155. doi: 10.1097/PRS.0b013e3181da8769.
8
Reconstruction in the buttock region using the local fasciocutaneous infragluteal (FCI) flap.采用臀部局部筋膜皮瓣（FCI）进行臀部区域的重建。
J Plast Reconstr Aesthet Surg. 2010 Jan;63(1):126-32. doi: 10.1016/j.bjps.2008.08.050. Epub 2008 Dec 21.
9
Anal and rectal cancer in Crohn's disease.克罗恩病中的肛管直肠癌
Colorectal Dis. 2003 Sep;5(5):490-5. doi: 10.1046/j.1463-1318.2003.00510.x.
10
Relationship between the descending branch of the inferior gluteal artery and the posterior femoral cutaneous nerve applicable to flap surgery.臀下动脉降支与股后皮神经的关系在皮瓣手术中的应用
Surg Radiol Anat. 2002 Dec;24(5):253-7. doi: 10.1007/s00276-002-0064-z. Epub 2002 Nov 1.