CAJ | 학술논문

目的研究膝降动脉穿支皮瓣的应用解剖及修复手部软组织缺损的临床效果.方法对10侧成人下肢尸体标本经股动脉注入红色乳胶液,解剖观测膝降动脉穿支血管在股内侧区的分布、起源等.临床应用游离膝降动脉穿支皮瓣修复手部软组织缺损9例.皮瓣切取面积为5 cm×8 cm～6 cm×15 cm.结果膝降动脉由股动脉在股骨内侧髁上平均(12.4±1.3) cm处发出1～3支相对恒定的皮穿支血管,营养股内侧皮瓣.临床应用9例,皮瓣完全存活,术后随访时间为6～18个月,皮瓣质地优良,外形与功能恢复满意,供区留有线条瘢痕,下肢行走功能无影响.结论以膝降动脉穿支血管营养的股前内侧皮瓣血供可靠,质地优良,是修复手部组织缺损的良好选择.
목적 연구슬강동맥천지피판적응용해부급수복수부연조직결손적림상효과.방법 대10측성인하지시체표본경고동맥주입홍색유효액,해부관측슬강동맥천지혈관재고내측구적분포、기원등.림상응용유리슬강동맥천지피판수복수부연조직결손9례.피판절취면적위5 cm×8 cm～6 cm×15 cm.결과 슬강동맥유고동맥재고골내측과상평균(12.4±1.3) cm처발출1～3지상대항정적피천지혈관,영양고내측피판.림상응용9례,피판완전존활,술후수방시간위6～18개월,피판질지우량,외형여공능회복만의,공구류유선조반흔,하지행주공능무영향.결론 이슬강동맥천지혈관영양적고전내측피판혈공가고,질지우량,시수복수부조직결손적량호선택.
Objective To investigate the applied anatomy of descending genicular artery perforator flap and report the clinical results of treating hand soft tissue defects with free transfer of the flap. Methods The origin,course,distribution and outer diameter of descending genicular artery perforators,which were located at the medial thigh,were observed on 10 adult cadaveric lower extremities perfused with red latex through the femoral artery. Clinically nine cases of soft-tissue defect in the hand were treated with transfer of the descending genicular artery perforator flap. The area of the flaps ranged from 5 cm×8 cm to 6 cm×15 cm. Results The descending genicular artery originated from the femoral artery (12.4±1.3) cm above the medial condyle. It sent 1 to 3 relatively constant perforators proximally to feed skin of the medial thigh. All of 9 cases of free descending genicular artery perforator flap survived uneventfully. Follow-up of 6 to 18 months showed good texture and appearance of the flaps. Functional results were satisfactory. Only a linear scar was left at the donor site. Walking and gait was normal. Conclusion Descending genicular artery perforator flap from the medial thigh has reliable blood supply and good texture. It is a good option for repairing soft-tissue defect in the hand.