CAJ | 학술논문

目的探讨狭长窄蒂皮瓣在老年肿瘤切除后软组织缺损修复中的应用及成活机制.方法设计蒂部位于肿瘤切除后创面旁沿知名或穿支血管走向的狭长窄蒂皮瓣,用于老年人肿瘤切除后软组织缺损的修复.皮瓣切取最大面积12 cm×10 cm,最小3 cm×4 cm,蒂宽1.0～1.5 cm,蒂长2～8 cm.结果共17例,14例Ⅰ期成活,外形良好,3例因早期包扎不当,延迟愈合.结论老年人皮肤组织细胞代谢率低,移植后皮瓣组织本身的耐缺血缺氧能力强,设计狭长窄蒂皮瓣修复老年肿瘤切除后软组织缺损,较易成活,且窄蒂狭长,转移容易,皮瓣不臃肿,同时利于肿瘤的早期综合治疗,是老年肿瘤术后修复较理想方法.
목적 탐토협장착체피판재노년종류절제후연조직결손수복중적응용급성활궤제.방법 설계체부위우종류절제후창면방연지명혹천지혈관주향적협장착체피판,용우노년인종류절제후연조직결손적수복.피판절취최대면적12 cm×10 cm,최소3 cm×4 cm,체관1.0～1.5 cm,체장2～8 cm.결과 공17례,14례Ⅰ기성활,외형량호,3례인조기포찰불당,연지유합.결론 노년인피부조직세포대사솔저,이식후피판조직본신적내결혈결양능력강,설계협장착체피판수복노년종류절제후연조직결손,교역성활,차착체협장,전이용역,피판불옹종,동시리우종류적조기종합치료,시노년종류술후수복교이상방법.
Objective To investigate the application and survival mechanism of a long and narrow pedicle flap which was used to repair the tissue defects after removal of tumor in aged patients.Methods The long and narrow pedicle flap was designed with its pedicle located beside wound surface along the pathway of well-known or perforating branch blood vessel to repair the defect caused by removing the tumor in aged patients.The size of the flaps ranged from 3 cm × 4 cm to 10 cm × 12 cm.The length and width of the pedicle ranged 2 - 8 cm and 1.0 - 1.5 cm.Results This flap was used in 17 cases.The flap was survived well in 14 patients,and healed later in other 3 patients because of wrong bandaging in earlier period.Conclusions The capability of bearing ischemia and hypoxia of the flap tissue is stronger after transfer owing to low metabolic rate in the skin tissue in aged patients.The flap is easily survived by repairing the tissue defects after removal of tumors in aged patients with the long and narrow pedicle flap.The pedicle of flap is narrow and long,and the transposition of the narrow pedicle flap is easy.The postoperative appearance is satisfactory.It is an ideal choice for repairing the defect caused by removal of tumor in aged patients.