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[阴道手术中的马蒂厄皮瓣:技术与适应证]

[The Martius flap in vaginal surgery: technic and indications].

作者信息

Chassagne S, Haab F, Zimmern P

机构信息

Department of Urology, UT Southwestern Medical Center, Dallas, USA.

出版信息

Prog Urol. 1997 Feb;7(1):120-5.

PMID:9116729
Abstract

The Martius pedicle adipose flap can be used as an interposition flap during complex vaginal operations. It is a simple, rapid technique allowing raising of a well vascularized adipose flap with a mean length of 8 to 12 cm. It can be used in certain forms of vaginal repair, such as high supratrigonal vesicovaginal fistula, after bladder perforation, for obstructed urethra after colposuspension, after urethral destruction following prolonged bladder catheterization in a neurological patient, during repair of a complex urethral diverticulum or during transvaginal insertion of an artificial sphincter. After describing the flap raising operative technique, the various operative indications are presented.

摘要

马尔修斯蒂氏带脂肪瓣可在复杂阴道手术中用作插入瓣。这是一种简单、快速的技术,能够掀起一个平均长度为8至12厘米、血运良好的脂肪瓣。它可用于某些形式的阴道修复,如高位膀胱三角上膀胱阴道瘘、膀胱穿孔后、阴道悬吊术后尿道梗阻、神经科患者长期留置膀胱导管后尿道破坏、复杂尿道憩室修复期间或经阴道植入人工括约肌期间。在描述了掀起该脂肪瓣的手术技术后,介绍了各种手术适应证。

相似文献

1
[The Martius flap in vaginal surgery: technic and indications].[阴道手术中的马蒂厄皮瓣:技术与适应证]
Prog Urol. 1997 Feb;7(1):120-5.
2
Repair of urethral diverticulum or vesicovaginal fistula by vaginal flap technic.经阴道皮瓣技术修复尿道憩室或膀胱阴道瘘。
Obstet Gynecol. 1976 May;47(5):627-9.
3
[Treatment of vesicovaginal fistula, simple or complicated by urethral destruction. Experience apropos of 903 cases].
J Urol (Paris). 1991;97(6):253-9.
4
The uses and outcomes of the Martius fat pad in female urology.女性泌尿外科中Martius脂肪垫的应用及效果
World J Urol. 2017 Mar;35(3):473-478. doi: 10.1007/s00345-016-1887-2. Epub 2016 Jul 7.
5
[Urethrolysis after surgical cure of stress urinary incontinence using colpopexy: surgical technics].
Prog Urol. 1997 Jun;7(3):516-21.
6
Vaginal flap reconstruction of the urethra and vesical neck in women: a report of 49 cases.女性尿道及膀胱颈阴道瓣重建术:49例报告
J Urol. 1996 Mar;155(3):1014-7.
7
Urethral diverticulum: a new complication associated with tension-free vaginal tape.尿道憩室:一种与无张力阴道吊带相关的新并发症。
Urol Int. 2008;81(4):480-2. doi: 10.1159/000167852. Epub 2008 Dec 10.
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Repair of urinary tract fistulas with bulbocavernosus myocutaneous flaps.采用球海绵体肌皮瓣修复尿道瘘
Obstet Gynecol. 1984 Apr;63(4):588-93.
9
Ten-year experience with transvaginal vesicovaginal fistula repair using tissue interposition.采用组织植入法经阴道修复膀胱阴道瘘的十年经验
J Urol. 2003 Mar;169(3):1033-6. doi: 10.1097/01.ju.0000049723.57485.e7.
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Vaginal wall bipedicled flap and other techniques in complicated urethral diverticulum and urethrovaginal fistula.阴道壁双蒂皮瓣及其他技术在复杂性尿道憩室和尿道阴道瘘中的应用
J Am Coll Surg. 1995 Feb;180(2):150-6.

引用本文的文献

1
Use of Martius flap in the complex female urethral surgery.马丁皮瓣在复杂女性尿道手术中的应用。
Cent European J Urol. 2014;67(2):202-7. doi: 10.5173/ceju.2014.02.art20. Epub 2014 Jun 23.
2
[Persistent perineal sinus closure after rectal extirpation-an alternative using bulbocavernosus fat flaps].
Chirurg. 2004 Jun;75(6):627-30. doi: 10.1007/s00104-003-0805-5.