Zook N L, Zook E G
Southern Illinois University School of Medicine, Institute for Plastic and Reconstructive Surgery, Springfield 62794-1511, USA.
Plast Reconstr Surg. 1997 Jul;100(1):96-9. doi: 10.1097/00006534-199707000-00017.
Coccygectomy is a rarely used treatment for coccygodynia because of its high failure rate and various complications, such as bowel herniation, as seen in our patient. The limited number of literature articles available on coccygectomy discussed the few successes but failed to mention the complications and treatment of such. As a result of coccygectomy, our patient suffered from bowel herniation, unsuccessfully treated twice with prosthetic mesh. Bilateral gluteus maximus muscle flaps plicated in the midline reduced our patient's hernia successfully. This procedure appears to be an effective treatment for this postcoccygectomy complication.
由于尾骨切除术的高失败率和各种并发症，如我们的患者所出现的肠疝，它是一种很少用于治疗尾骨痛的方法。关于尾骨切除术的文献数量有限，这些文献讨论了少数成功案例，但未提及此类手术的并发症和治疗方法。由于进行了尾骨切除术，我们的患者出现了肠疝，使用人工补片进行了两次治疗均未成功。双侧臀大肌肌瓣在中线处折叠成功地减少了我们患者的疝气。该手术似乎是治疗这种尾骨切除术后并发症的有效方法。
