联合组织皮瓣多层次修补重建成人膀胱外翻腹壁缺损的效果分析  

Effectiveness Analysis of Reconstruction of Absence of Abdominal Wall with Multi-layer Tissue Flaps in Adult Bladder Exstrophy

作　　者：于扬[1] 张波[2] 余扬[1] 乔星[1] 董祥林[1] YU Yang;ZHANG Bo;QIAO Xing;DONG Xianglin(Department of Plastic Surgery,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China;Department of Burns,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China)

机构地区：[1]新疆医科大学第一附属医院整形科,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院烧伤科,新疆乌鲁木齐830054

出　　处：《中国美容医学》2022年第3期64-66,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨分析联合组织皮瓣多层次修补重建成人膀胱外翻腹壁缺损的可行性和临床治疗效果,为临床解决类似问题提供可借鉴的方法。方法:总结2013年6月-2020年1月收治的12例首治成年先天性完全性膀胱外翻患者,腹壁缺损处均采用腹部深筋膜皮瓣联合腹直肌前鞘-腹外斜肌腱膜瓣分层修补的治疗,转移皮瓣面积为9 cm×11 cm~13 cm×15 cm。结果:临床治疗12例首治成年膀胱外翻患者,转移皮瓣均成活良好,腹壁重建强度足够,外形恢复满意。结论:成年首治先天性完全性膀胱外翻患者采取多种皮瓣多层次修补重建腹壁,强度和外形满意,效果可靠。Objective To investigate and analyze the feasibility and clinical effect of multi-layer reconstruction of absence of abdominal wall of adult bladder exstrophy with flaps,and to provide a reference method for clinical treatment of similar problems.Methods To summarize 12 adult patients with congenital complete bladder exstrophy were initial treatment from June 2013 to January 2020,all abdominal wall defect were treated with multi-layer reconstruction of the shallow flap pedicled by the deep abdominal fascia and the deep joint aponeurosis flap composed by anterior sheath of rectus abdominis-aponeurosis of external oblique.The area of transferred flap was 9 cm×11 cm to 13 cm×15 cm.Results Abdominal wall reconstruction of 12 cases cured well with sufficient strength and satisfactory appearance recovery.Conclusion The multi-layer reconstruction of absence of abdominal wall of congenital complete bladder exstrophy in adults by multiple flaps could get satisfactory appearance,sufficient strength and reliable effect in initial treatment.

关 键 词：成人 膀胱外翻 腹壁缺损 腹直肌前鞘-腹外斜肌腱膜瓣 腹壁重建 

分 类 号：R628[医药卫生—整形外科]