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一种用于梅干腹综合征的腹部整形术新方法。

A novel technique of abdominoplasty for prune belly syndrome.

机构信息

Department of Paediatric Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

Afr J Paediatr Surg. 2020 Jul-Dec;17(3 & 4):108-110. doi: 10.4103/ajps.AJPS_55_20.

DOI:10.4103/ajps.AJPS_55_20
PMID:33342845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8051631/
Abstract

Prune belly syndrome is an extremely rare congenital condition occurring predominantly in males. This triad syndrome comprises of partial or complete deficient abdominal wall muscles, undescended testes and dilated urinary collecting system. We present the case of a 2-year-old male patient, who presented with classic prune belly syndrome, operated with modification in classical Monfort technique of abdominoplasty. The basis of this approach was to save and use the supraumbilical abdominal wall which has better tensile strength. The infraumbilical skin was mostly discarded. The outcome was better in terms of cosmetic appearance as the scar was limited to the lower abdomen and better anterior abdominal wall strength.

摘要

脐膨出型腹壁发育不良症是一种极其罕见的先天性疾病,主要发生于男性。这种三联征包括部分或完全缺失的腹壁肌肉、未降睾丸和扩张的尿收集系统。我们介绍了一位 2 岁男性患者的病例,他患有典型的脐膨出型腹壁发育不良症,采用改良的经典蒙福特(Monfort)腹部整形术进行了手术。这种方法的基础是保存和使用具有更好拉伸强度的脐上腹壁。脐下皮肤大部分被丢弃。从美容外观的角度来看,结果更好,因为疤痕仅限于下腹部,并且前腹壁的强度更好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a93/8051631/9fba69a1287a/AJPS-17-108-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a93/8051631/cb649c6d779d/AJPS-17-108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a93/8051631/6c3468466f98/AJPS-17-108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a93/8051631/3c0982e6f56e/AJPS-17-108-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a93/8051631/9fba69a1287a/AJPS-17-108-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a93/8051631/cb649c6d779d/AJPS-17-108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a93/8051631/6c3468466f98/AJPS-17-108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a93/8051631/3c0982e6f56e/AJPS-17-108-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a93/8051631/9fba69a1287a/AJPS-17-108-g004.jpg

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本文引用的文献

1
Clinical manifestations and management of prune-belly syndrome in a large contemporary pediatric population.当代大量儿科人群中梨状腹综合征的临床表现及管理
Urology. 2015 Jan;85(1):211-5. doi: 10.1016/j.urology.2014.09.029. Epub 2014 Nov 8.
2
Long-term follow-up of total abdominal wall reconstruction for prune belly syndrome.腹壁整体重建治疗小儿腹壁过紧综合征的长期随访。
Plast Reconstr Surg. 2012 Jan;129(1):104e-109e. doi: 10.1097/PRS.0b013e3182362091.
3
Abdominal wall reconstruction in the prune belly syndrome.梅干腹综合征的腹壁重建
J Pediatr Surg. 1981 Dec;16(6):960-4. doi: 10.1016/s0022-3468(81)80854-8.
4
A novel technique for reconstruction of the abdominal wall in the prune belly syndrome.一种用于梅干腹综合征腹壁重建的新技术。
J Urol. 1991 Aug;146(2 ( Pt 2)):639-40. doi: 10.1016/s0022-5347(17)37880-1.