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采用带蒂大腿皮瓣进行尿道功能重建治疗外阴坏死性筋膜炎后尿道皮肤瘘

Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis.

作者信息

Hihara Masakatsu, Kihara Masashi, Mitsui Toshihito, Kakudo Natsuko, Kuro Atsuyuki, Kusumoto Kenji

机构信息

Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan.

出版信息

J Surg Case Rep. 2021 Aug 26;2021(8):rjab363. doi: 10.1093/jscr/rjab363. eCollection 2021 Aug.

DOI:10.1093/jscr/rjab363
PMID:34457237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8390331/
Abstract

The penile and scrotal skin are often resected after vulvar necrotizing fasciitis, so functional and aesthetic vulvar reconstruction is extremely challenging. With widespread and deepened infections, urethral fistulas can develop, forcing penis and scrotal amputations. In cases complicated with a urethral fistula, the wound cannot be treated by simple skin graft surgery, and complicated flap surgery is required. We verified that urethral functional reconstruction using a pedicled thigh flap is a useful technique for managing urethral cutaneous fistulas that develop after necrotizing fasciitis.

摘要

外阴坏死性筋膜炎后常需切除阴茎和阴囊皮肤，因此功能性和美观性的外阴重建极具挑战性。随着感染的广泛和加深，可出现尿道瘘，导致阴茎和阴囊截肢。在合并尿道瘘的病例中，伤口不能通过简单的植皮手术治疗，需要进行复杂的皮瓣手术。我们证实，使用带蒂大腿皮瓣进行尿道功能重建是治疗坏死性筋膜炎后发生的尿道皮肤瘘的一种有效技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/65fb079173f5/rjab363f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/49ccaae8ef51/rjab363f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/5c67f4a2795f/rjab363f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/b0b241855462/rjab363f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/13234ad112f5/rjab363f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/65fb079173f5/rjab363f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/49ccaae8ef51/rjab363f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/5c67f4a2795f/rjab363f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/b0b241855462/rjab363f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/13234ad112f5/rjab363f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a7/8390331/65fb079173f5/rjab363f5.jpg

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Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis.采用带蒂大腿皮瓣进行尿道功能重建治疗外阴坏死性筋膜炎后尿道皮肤瘘
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本文引用的文献

1
Coverage of the scrotum after Fournier's gangrene.福尼尔坏疽后的阴囊覆盖情况。
GMS Interdiscip Plast Reconstr Surg DGPW. 2018 Jan 15;7:Doc01. doi: 10.3205/iprs000121. eCollection 2018.
2
Scrotal reconstruction with modified pudendal thigh flaps.改良股内侧皮瓣阴囊重建术。
J Plast Reconstr Aesthet Surg. 2016 Feb;69(2):278-83. doi: 10.1016/j.bjps.2015.10.039. Epub 2015 Nov 18.
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Reconstruction of perineoscrotal defects in Fournier's gangrene with pedicle anterolateral thigh perforator flap.带蒂股前外侧穿支皮瓣修复Fournier坏疽所致会阴部阴囊缺损
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Fournier's gangrene - delayed pedicle flap based upon the anterior abdominal wall.福尼尔坏疽——基于前腹壁的延迟带蒂皮瓣。
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Accompanying arteries of the lesser saphenous vein and sural nerve: anatomic study and its clinical applications.小隐静脉和腓肠神经的伴行动脉：解剖学研究及其临床应用
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