Ward M W, Morgan B G, Clark C G
Br J Surg. 1982 Apr;69(4):228-9. doi: 10.1002/bjs.1800690420.
The utilization of a myocutaneous flap based on the gracilis muscle is described in two patients who had a persistent perineal sinus following proctocolectomy for Crohn's disease. In each case the posterior vaginal wall had eroded to form a fistula. This flap provided a cutaneous surface with good sensation to replace the posterior vaginal wall and tissue bulk to fill the excised cavity. A good functional result was obtained in each patient. This technique provides a useful contribution to the management of this unusual complication.
本文描述了两例因克罗恩病行直肠结肠切除术后出现持续性会阴窦道的患者，采用基于股薄肌的肌皮瓣进行治疗的情况。在每例患者中，阴道后壁均已侵蚀形成瘘管。该皮瓣提供了具有良好感觉的皮肤表面，以替代阴道后壁，并提供组织量来填充切除后的腔隙。每位患者均获得了良好的功能效果。该技术为这种罕见并发症的处理提供了有益的方法。
