CAJ | 학술논문

目的　介绍枕颈部和肋间部两种窄蒂穿支型薄皮瓣的解剖、设计要点和应用经验。方法　以枕后动脉降支的皮穿支为蒂的枕颈部皮瓣根据其远端指向不同分为枕颈肩和枕颈背皮瓣。以4～9肋间动脉皮穿支为蒂的肋间穿支皮瓣可设计成斜型或垂直型。所有皮瓣的蒂宽均在3～5 cm ，瓣部宽大，同时远端还可继续加长携带旋肩胛血管或腹壁下深血管，使之形成巨大的薄皮瓣。结果　临床共应用51例修复面颈手部，随访1个月至3年，功能与外形均满意。结论　该皮瓣主要优点是蒂窄便于旋转，有双套血供，巨大而薄，较适用于面、颈、手等外露部位的修复。
목적　개소침경부화륵간부량충착체천지형박피판적해부、설계요점화응용경험。방법　이침후동맥강지적피천지위체적침경부피판근거기원단지향불동분위침경견화침경배피판。이4～9륵간동맥피천지위체적륵간천지피판가설계성사형혹수직형。소유피판적체관균재3～5 cm ，판부관대，동시원단환가계속가장휴대선견갑혈관혹복벽하심혈관，사지형성거대적박피판。결과　 림상공응용51례수복면경수부，수방1개월지3년，공능여외형균만의。결론 　해피판주요우점시체착편우선전，유쌍투혈공，거대이박，교괄용우면、경、수등외로부위적수복。
Objective　To study the anatomy and application of two narrow pedicled thin (np-thin) flaps with small cutaneous perforator. Methods　The np-thin occiptal cervical (oc) flap with the cutaneous perforator of occipital artery was formed by taking the distal part of flap at the shoulder area (OCS) or at dorsal area(OCD). The np-thin intercostal flap was formed with 4th～9th intercostal cutaneous perforator (ICP). Both flaps can also be elongated by vascular anastomosis at its distal end. Results Fifty-one np-thin flaps were successfully used for reconstruction of skin defects in the neck, face and hand. Conclusions Flap with a narrow skin pedicle and thin distal part is useful for covering the hand and neck regions. It was proved to have better function and aesthetic results than the traditional methods.