CAJ | 학술논문

目的探讨前臂皮神经营养血管皮瓣远位修复创面的临床效果。方法采用前臂皮神经营养血管皮瓣远位修复头面部、上肢创面17例。结果16例皮瓣全部成活，1例皮瓣远端部分坏死，经换药后愈合，随访3～6个月，所有皮瓣质地优良，外观无明显臃肿，功能满意。结论前臂皮神经营养血管皮瓣血供充分、皮瓣成活率高、不牺牲主干血管、远位修复方便，是修复头面部、上肢皮肤软组织缺损的理想方法。
목적 탐토전비피신경영양혈관피판원위수복창면적림상효과。방법채용전비피신경영양혈관피판원위수복두면부、상지창면17례。결과16례피판전부성활，1례피판원단부분배사，경환약후유합，수방3～6개월，소유피판질지우량，외관무명현옹종，공능만의。결론전비피신경영양혈관피판혈공충분、피판성활솔고、불희생주간혈관、원위수복방편，시수복두면부、상지피부연조직결손적이상방법。
Objective To explore the clinical effects of forearm cutaneous neurovascular flaps to be used on repairing remote wound.Methods 17 cases of soft tissue defect of head and facial region and upper extremity were repaired with forearm cutaneous neurovascular flaps.Results The flaps of 16 cases were entirely survived, partial necrosis appeared in 1 case and healed after changing dressing.Following up for 3 to 6 months, the quality and shape of all the flaps and function recovery of all patients were satisfied.Conclusions With adequate blood supply, the survival rate of forearm cutaneous neurovascular flaps is high and the procedure to repair remote wound is easy, and it is one of best ways to repair the soft tissue defect in head and facial region and upper extremity with forearm cutaneous neurovascular flaps.