CAJ | 학술논문

目的探讨小隐静脉-腓肠神经营养血管逆行岛状皮瓣在修复儿童足部软组织缺损中的应用特点.方法 2006年7月至2008年6月,应用小隐静脉一腓肠神经营养血管逆行岛状皮瓣修复儿童足背、足跟及足踝部软组织缺损8例,皮瓣切取范围6 cm×5 cm～9 cm×7 cm,除2例足踝部外,6例修复足背、足跟,皮瓣上界超过小腿中上1/3交界处,其中1例接近胭窝横纹.结果 8例皮瓣全部成活良好.经1-17个月的随访,皮瓣外观满意,感觉功能有部分恢复,足跟处亦未出现溃烂,供区无功能障碍,双小腿发育未见明显差异,外观稍受影响.皮瓣上界可超过小腿中上1/3交界处达胭窝横纹,皮瓣旋转点位于外踝尖后上方4～6 cm.结论儿童小隐静脉一腓肠神经营养血管逆行岛状皮瓣存活的范围与成人相比差异不大,操作简单,对小腿发育未见明显影响.是修复足部软组织缺损的较好方法.
목적 탐토소은정맥-비장신경영양혈관역행도상피판재수복인동족부연조직결손중적응용특점.방법 2006년7월지2008년6월,응용소은정맥일비장신경영양혈관역행도상피판수복인동족배、족근급족과부연조직결손8례,피판절취범위6 cm×5 cm～9 cm×7 cm,제2례족과부외,6례수복족배、족근,피판상계초과소퇴중상1/3교계처,기중1례접근연와횡문.결과 8례피판전부성활량호.경1-17개월적수방,피판외관만의,감각공능유부분회복,족근처역미출현궤란,공구무공능장애,쌍소퇴발육미견명현차이,외관초수영향.피판상계가초과소퇴중상1/3교계처체연와횡문,피판선전점위우외과첨후상방4～6 cm.결론 인동소은정맥일비장신경영양혈관역행도상피판존활적범위여성인상비차이불대,조작간단,대소퇴발육미견명현영향.시수복족부연조직결손적교호방법.
Objective To investigate the clinical application of reversed small saphenons vein-sural neurovascular island flap for reconstruction of soft tissue defect on foot and ankle in children. Methods From July 2006 to June 2008, 8 children with soft tissue defects on foot, heel or ankle were treated with reversed small saphenous vein-sural neurovaacular island flaps. The size of flaps ranged from 6 cm x 5 cm to 9 cm x 7 cm. The upper margin of the flaps reached the upper third of cruris, with 1 case reaching the transverse line of pepliteal fossa. Results All the flaps survived. The patients were followed up for 1 ～ 17 months with good aesthetic and functional results. The growth of the two legs had no difference. The sensation of the flaps improved with no heel ulcer and no dysfunction at the donor site. The upper boundary of flaps can reach the upper third of the crofts even the reansverse line of popliteal fossa. The rotation point of the flaps located at 4-6 cm above the lateral ankle in children. Conclusions The reversed small saphenous vein-sural neurovascular island flap in children has a reliable survival area. The operation is easily performed without any obvious influence on the growth of the operated cruris. It is a good reconstructive method for soft tissue defect in foot and ankle.