摘要患者为37岁女性,腰骶部脊膜膨出37年、破溃半年,于2018年3月就诊于中国医学科学院整形外科医院,病变直径约10 cm,有脓性分泌物,伴有恶臭.术中切除肿物后发现有脑脊液漏,应用臀上动脉穿支螺旋桨皮瓣对创面进行了覆盖.术后部分切口愈合不良出现脑脊液漏,再次清创、更换引流后,切口愈合良好.作者对该例患者的治疗过程和方法进行了详细地介绍,并总结了腰骶部术后脑脊液漏的治疗经验.

abstractsA 37-year-old woman presented with a congenital spinal meningocele for 37 years and ruptured for 6 months. She was admitted to the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences in March 2018. The diameter of the lesion was about 10 cm, with purulent secretion and malodor. The superior gluteal artery perforator propeller flap was used to reconstruct the defect after the lesion resection. Part of the wound didn' t heal and cerebrospinal fluid leaked from the wound postoperatively. The wound eventually healed after wound debridement and drainage changing. Cerebrospinal fluid retention under the flap could result in wound dehiscence and cerebrospinal fluid leakage. The author introduced the treatment process and operative method . The preliminary experience in treating cerebrospinal fluid leakage after surgical management of the spinal meningocele was also summarized.