CAJ | 학술논문

目的探讨应用手指侧方指动脉穿支皮瓣修复指端缺损的临床疗效. 方法 2008年10月至2010年8月期间,应用手指侧方指动脉穿支皮瓣修复9例共12指指端部分缺损患者,其中拇指5指,示指2指,中指3指,环指2指.切取皮瓣面积为2.7 cm × 1.4 cm ～ 3.1 cm×1.8 cm,供区游离植皮修复. 结果 11例皮瓣血运良好,伤口一期愈合,1例术后出现皮瓣远端部分青紫,经局部换药3周后愈合.患者均获随访,随访3～6个月,皮瓣外形饱满,颜色质地接近正常.10例皮瓣术后3个月内两点辨别觉恢复至4～5 mm. 结论应用手指侧方指动脉穿支皮瓣修复指端缺损,避免了主干血管损伤,皮瓣外观、感觉恢复良好,疗效满意.
목적 탐토응용수지측방지동맥천지피판수복지단결손적림상료효. 방법 2008년10월지2010년8월기간,응용수지측방지동맥천지피판수복9례공12지지단부분결손환자,기중무지5지,시지2지,중지3지,배지2지.절취피판면적위2.7 cm × 1.4 cm ～ 3.1 cm×1.8 cm,공구유리식피수복. 결과 11례피판혈운량호,상구일기유합,1례술후출현피판원단부분청자,경국부환약3주후유합.환자균획수방,수방3～6개월,피판외형포만,안색질지접근정상.10례피판술후3개월내량점변별각회복지4～5 mm. 결론 응용수지측방지동맥천지피판수복지단결손,피면료주간혈관손상,피판외관、감각회복량호,료효만의.
Objective To analysis the clinical efficacy of using lateral homodigital flaps based on digital artery perforator to repair the fingertip defects. Methods From October 2008 to August 2010,nine patients with twelve fingertip defects,including 5 thumbs,2 index fingers,3 middle fingers,2 ring fingers,underwent repair with lateral homodigital flaps based on digital artery perforator.The size of the flaps ranged from 2.7 cm× 1.4 cm to 3.1 cm× 1.8 cm.The donor site were covered by skin graft. Results Eleven flaps survived.One case met with partial necrosis.The follow-up time ranged from 3 to 6 months(average of 4.5 months).The finges had good appearance.Ten cases had gained full postoperative sensory recovery and the two-point discrimination was 4-Smm at 3 months after operation.Conclusion Using the flaps pedicled with digital artery perforator is a feasible solution for treatment of fingertip defects.