Hoskins W J, Park R C, Long R, Artman L E, McMahon E B
Obstet Gynecol. 1984 Apr;63(4):588-93.
Urinary tract fistulas resulting from severe trauma or pelvic irradiation are often associated with extensive tissue loss, scar formation, and fibrosis. Two cases, one with a urethro-vaginal fistula secondary to trauma and one with a vesico-vaginal fistula secondary to irradiation, are presented. In neither case could the bladder, urethra, or vagina be repaired primarily. Using a bulbocavernosus myocutaneous "island" flap, the fistulas were successfully repaired. The anatomy of the graft and the operative procedure are described. This new procedure should be considered in urinary tract fistulas in which there is extensive tissue loss and scarring.
由严重创伤或盆腔放疗导致的尿路瘘通常与广泛的组织缺失、瘢痕形成和纤维化相关。本文介绍了两例病例，一例是创伤后继发的尿道阴道瘘，另一例是放疗后继发的膀胱阴道瘘。在这两例病例中，膀胱、尿道或阴道均无法一期修复。使用球海绵体肌皮“岛”状皮瓣，成功修复了瘘管。描述了移植物的解剖结构和手术步骤。对于存在广泛组织缺失和瘢痕形成的尿路瘘，应考虑采用这种新方法。
