Pezim M E, Wolff B G, Woods J E, Beart R W, Ilstrup D M
Can J Surg. 1987 May;30(3):212-4.
Between 1975 and 1985, 21 patients underwent muscle-flap repair of a persistent perineal sinus. All had previously undergone a proctectomy for ulcerative colitis (7 patients), Crohn's disease (10), trauma (2) or cancer (2). A total of 133 (mean 6.8, range from 1 to 25) previous surgical attempts had been made to eradicate the sinus. At follow-up after muscle-flap repair (mean 47 months), the sinus was completely healed in 14 patients. However, 10 of these patients had required further perineal operations (mean 1.9, range from 0 to 9). In those with a successful result, the average time taken for the sinus to heal was 2.3 months (range from 1 to 24 months). In three patients, a wound that had initially healed reopened (mean 7 months) and has remained unhealed. Although a gracilis flap will likely cure a refractory perineal sinus, the healing period may be prolonged, and reoperation is frequently required.
1975年至1985年间，21例患者接受了持续性会阴窦的肌瓣修复术。所有患者此前均因溃疡性结肠炎（7例）、克罗恩病（10例）、创伤（2例）或癌症（2例）接受过直肠切除术。此前为根除该窦道共进行了133次（平均6.8次，范围为1至25次）手术尝试。在肌瓣修复术后的随访（平均47个月）中，14例患者的窦道完全愈合。然而，其中10例患者需要进一步进行会阴手术（平均1.9次，范围为0至9次）。手术成功的患者中，窦道愈合的平均时间为2.3个月（范围为1至24个月）。3例患者最初愈合的伤口重新裂开（平均7个月），且一直未愈合。尽管股薄肌瓣可能治愈难治性会阴窦，但愈合时间可能会延长，且经常需要再次手术。
