CAJ | 학술논문

目的探讨应用分叶穿支皮瓣修复下肢软组织缺损的方法.方法 2009至2011年,按照组织缺损的形态,利用旋股外侧动脉多个穿支设计分叶穿支皮瓣,同时结合flow-through及超薄皮瓣技术,游离移植修复下肢软组织创伤后组织缺损,供区一期缝合.结果临床应用共21例,其中2例发生皮瓣远端缺血、坏死,经移植皮片修复后痊愈,余19例均完全成活,外形和功能较满意.结论股前外侧分叶穿支皮瓣可以合理利用供区组织,并较理想修复复杂组织缺损.
목적 탐토응용분협천지피판수복하지연조직결손적방법.방법 2009지2011년,안조조직결손적형태,이용선고외측동맥다개천지설계분협천지피판,동시결합flow-through급초박피판기술,유리이식수복하지연조직창상후조직결손,공구일기봉합.결과 림상응용공21례,기중2례발생피판원단결혈、배사,경이식피편수복후전유,여19례균완전성활,외형화공능교만의.결론 고전외측분협천지피판가이합리이용공구조직,병교이상수복복잡조직결손.
Objective Application of anterior lateral thight flap(ALT) polyfoliate perforator flap for lower extremity soft tissue defect. Methods From 2009 to 2011,anteral thigh perforator flap free transplantation were applied for traumatic soft tissue deformity of body surface. Results There were 21 cases in this clinical application and the necrosis in distal part of two flaps were treated by free grafting.The other 19 flaps survived completely and the contour and function were satisfied.Conclusion ALT polyfoliate perforator flap could repair the complicated body surface soft tissue defect economically.