Serafin D, Dimond M, France R
Plast Reconstr Surg. 1983 Jul;72(1):81-9.
A case report of a patient with a recurrent factitial vesicocutaneous and a tensor fasciae latae musculocutaneous flap were employed in reconstruction. Difficulty in diagnosis and treatment of this patient with factitial disease is emphasized. Excessive hospitalization and cost reflect these difficulties. A life-threatening disease was modified by planned reconstruction coordinated with antidepressant medication and psychotherapy. Treatment centered on avoiding insight and maintaining denial ASA defense mechanism. The transference of self-mutilation in the suprapubic region to the donor thigh was most important in this patient's survival.
一例反复人为造成膀胱皮肤瘘患者的病例报告，采用阔筋膜张肌肌皮瓣进行重建。强调了该人为疾病患者诊断和治疗的困难。过度住院和费用反映了这些困难。通过与抗抑郁药物和心理治疗相协调的计划性重建，改变了一种危及生命的疾病。治疗的重点是避免患者洞察病情并维持否认这一心理防御机制。对该患者的存活而言，将耻骨上区域的自残行为转移至供区大腿最为重要。
