Kolasinski Jerzy, Kolenda Malgorzata, Kolasinska Dominika
Klinika Kolasinski ul, Swarzedz, Poland.
Plast Reconstr Surg Glob Open. 2021 May 26;9(5):e3594. doi: 10.1097/GOX.0000000000003594. eCollection 2021 May.
Congenital amniotic band syndrome (ABS) is an anomaly with no proven etiology occurring in 0.7 per 10,000 live births. This defect mostly concerns the extremities and is often accompanied by other developmental anomalies. There are many methods of treatment for this type of defect, such as simple excision and suturing, local V-Y plasty, Z-plasty, multiple Z "plasties" or multiple W plasties, plasty with deepithelized or non-deepithelized rectangular lobes, and rigottomies complemented with lipofilling. The literature most often describes cases of treated children. There are no case reports of ABS treatment in adults. However, failure to undertake such treatment in childhood may result in serious mental dysfunction. We present the case of a 39-year-old woman with congenital ABS, in whom failure to provide proper treatment in childhood resulted in persistent depressive disorder development. The applied treatment, consisting of multiple Z plasties, liposuction, and fat grafting, resulted in improved appearance of her lower extremity, as well as the cessation of mental symptoms.
先天性羊膜带综合征（ABS）是一种病因不明的先天性疾病，发病率为每10000例活产中有0.7例。这种缺陷主要影响四肢，常伴有其他发育异常。对于这类缺陷有多种治疗方法，如单纯切除缝合、局部V-Y成形术、Z成形术、多个Z形“成形术”或多个W成形术、带或不带去上皮矩形皮瓣的成形术以及辅以脂肪填充的环切术。文献中大多描述的是儿童治疗病例。目前尚无成人ABS治疗的病例报告。然而，儿童期未进行此类治疗可能导致严重的精神功能障碍。我们报告一例39岁先天性ABS女性病例，其儿童期未得到恰当治疗导致了持续性抑郁症的发生。所采用的治疗方法包括多个Z成形术、抽脂术和脂肪移植术，使她下肢外观得到改善，精神症状也得以缓解。
