CAJ | 학술논문

目的探讨应用带蒂鼻烟窝皮瓣修复手部中小面积软组织缺损的方法和临床效果.方法 2005年7月至2009年5月,对22例手部软组织缺损的患者,应用鼻烟窝皮瓣进行修复.结果术后1例皮瓣远端部分坏死,经换药后愈合;余皮瓣全部存活.术后随访6～24个月,皮瓣质地、色泽及外观良好,皮瓣无臃肿及萎缩,感觉良好.结论以桡动脉皮支为蒂的鼻烟窝皮瓣血管解剖恒定,是修复手部中小面积软组织缺损的有效方法.
목적 탐토응용대체비연와피판수복수부중소면적연조직결손적방법화림상효과.방법 2005년7월지2009년5월,대22례수부연조직결손적환자,응용비연와피판진행수복.결과 술후1례피판원단부분배사,경환약후유합;여피판전부존활.술후수방6～24개월,피판질지、색택급외관량호,피판무옹종급위축,감각량호.결론 이뇨동맥피지위체적비연와피판혈관해부항정,시수복수부중소면적연조직결손적유효방법.
Objective To explore the surgical technique and clinical outcomes of pedicled snuff-box flap to repair skin defects in the hand of small to medium sizes. Methods From July 2005 to May 2009 , the snuff-box flap was used to repair soft tissue defects of the hand in 22 cases. The survival rate, texture, colour and sensation of the flaps were evaluated. Results All 22 flaps survived except the partial distal necrosis in 1 case. Postoperative follow-up period ranged from 6 to 24 months. The texture, colour and appearance of the flaps were good. There was no bulkiness and atrophy of the flap. Flap sensation was good. Conclusion The snuffbox flap based on perforator of the radial artery has constant vascular anatomy. It is an effective procedure to repair small to medium size defects of the hand.