CAJ | 학술논문

目的探讨带皮穿支血管上臂内侧皮神经营养血管皮瓣的临床应用疗效.方法根据臂内侧深部知名血管的皮肤穿支血管和皮神经营养血管皮瓣血供来源及其与上臂筋膜皮肤血供的相互联系,在上臂内侧设计皮穿支血管皮神经营养血管皮瓣修复肩、臂、肘关节等部位皮肤缺损5例.结果术后皮瓣完全成活,创面一期愈合,经6～12个月随访,皮瓣外形与肩、肘关节功能恢复满意.结论带皮穿支血管的上臂内侧皮神经营养血管皮瓣解剖位置恒定、血供良好,手术方法简单,是修复上肢皮肤缺损的一种可取的方法.
목적 탐토대피천지혈관상비내측피신경영양혈관피판적림상응용료효.방법 근거비내측심부지명혈관적피부천지혈관화피신경영양혈관피판혈공래원급기여상비근막피부혈공적상호련계,재상비내측설계피천지혈관피신경영양혈관피판수복견、비、주관절등부위피부결손5례.결과 술후피판완전성활,창면일기유합,경6～12개월수방,피판외형여견、주관절공능회복만의.결론 대피천지혈관적상비내측피신경영양혈관피판해부위치항정、혈공량호,수술방법간단,시수복상지피부결손적일충가취적방법.
Objective To report the application of medial neurocutaneous flap with perforator vessel in upper arm. Methods Based on the perforator vessel of medial deep main blood vessel in upper arm and blood supply of neurocutanous flap, as well as their interrelation with vaseularity of fascia skin, we designned the medial neurocutaneous flap with perforator vessel in upper arm to repair skin defects in shoulder, arm and elbow joint in 5 cases. Results All the flaps survived completely with primary healing. The patients were followed up for 6～12 months. The contour of flaps and the function of shoulder and elbow joint were satisfactory. Condttsion The neurocutaneous flap has a reliable blood supply and easily performed. It is very desirable for repairing skin defect in upper extremity.