游离背阔肌肌皮瓣在股远端修复人工血管移植物感染：病例报告
Salvage of Prosthetic Vascular Graft Infection in the Distal Thigh Using Free Latissimus Dorsi Musculocutaneous Flap: A Case Report.
机构信息
Department of Plastic and Reconstructive Surgery, Hiroshima Prefectural Hospital, Hiroshima, Japan.
Department of Cardiovascular Surgery, Hiroshima Prefectural Hospital, Hiroshimha, Japan.
出版信息
Ann Vasc Surg. 2022 Mar;80:394.e1-394.e5. doi: 10.1016/j.avsg.2021.09.038. Epub 2021 Nov 12.
BACKGROUND
Prosthetic vascular graft infection (PVGI) in the distal thigh is a rare wound; thus, little is known about which muscle flaps are the most useful and cause less lower extremity morbidity in such cases. Moreover, very few reliable muscle flaps are available around the distal thigh.
CASE REPORT
We report the case of a 72-year-old woman suffering from a distal thigh wound with PVGI. The graft was successfully preserved after coverage with a free latissimus dorsi musculocutaneous (LDM) flap.
CONCLUSIONS
The free LDM flap procedure is more challenging than local muscle flaps; however, a free LDM flap can be a feasible option for a distal thigh wound with PVGI with the advantage of the maintenance of walking capability by preserving the lower-limb muscles.
背景
股部远端人工血管移植物感染（PVGI）是一种罕见的伤口；因此，对于在这种情况下哪种肌肉皮瓣最有用且对下肢造成的发病率较低，知之甚少。此外，股部远端周围可用的可靠肌肉皮瓣非常少。
病例报告
我们报告了一例 72 岁女性，患有股部远端伤口伴 PVGI。使用游离背阔肌肌皮瓣覆盖后，移植物成功保留。
结论
游离背阔肌肌皮瓣手术比局部肌肉皮瓣更具挑战性；然而，游离背阔肌肌皮瓣对于股部远端伴 PVGI 的伤口是一种可行的选择，其优点是通过保留下肢肌肉来维持行走能力。
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