CAJ | 학술논문

目的回顾分析近端带蒂交腿皮瓣治疗儿童足踝部创伤后大面积皮肤缺损的临床效果.方法 2004年12月～2007年12月收治的8例足踝部严重外伤患儿,均伴有大面积皮肤缺损,严格清创后,3例行撕脱皮肤原位缝合术,3周左右皮肤坏死,Ⅱ期行交腿皮瓣手术,5例行Ⅰ期交腿皮瓣手术,术后下肢石膏固定保护皮瓣,3周断蒂.结果所有皮瓣成活良好,供皮区伤口愈合良好,平均随访16个月,步态良好,踝关节活动无受限.结论近端带蒂交腿皮瓣操作简单,不依赖知名血管,治疗儿童大面积皮肤缺损安全有效.
목적 회고분석근단대체교퇴피판치료인동족과부창상후대면적피부결손적림상효과.방법 2004년12월～2007년12월수치적8례족과부엄중외상환인,균반유대면적피부결손,엄격청창후,3례행시탈피부원위봉합술,3주좌우피부배사,Ⅱ기행교퇴피판수술,5례행Ⅰ기교퇴피판수술,술후하지석고고정보호피판,3주단체.결과 소유피판성활량호,공피구상구유합량호,평균수방16개월,보태량호,과관절활동무수한.결론 근단대체교퇴피판조작간단,불의뢰지명혈관,치료인동대면적피부결손안전유효.
Objective To review the clinical outcomes of the classical cross-leg flaps for severe lower-extremity soft-tissue defects in children. Methods Eight children were referred to our hospital between December of 2004 and December of 2007 with smashed injuries of foot and ankle combined with severe soft-tissue defects. Immediately after thorough debridement to the wounds, five of 8 were given proximally pedicled cross-leg flaps from the opposite leg to cover the defects, three were given original suture to the degloving soft-tissue, which got necrosis later and were replaced by cross-leg flaps 3 weeks after injury. The legs were immobilized with plaster to protect the flaps. The flaps were divided 3 weeks after operation. Results All the flaps survived successfully without complications. After 16 months' follow-up, full ankle range of motion was achieved in all cases. Conclusions Proximally pedicled cross-leg flap is still a safe choice in children, because of its easy dissection and reliable pedicle without compromising the major vessels.