CAJ | 학술논문

目的研究足内侧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 10侧成人足踝标本经胴动脉注入红色乳胶液,解剖观测足底内侧动脉穿支血管在足内侧区的分布、起源等.临床设计吻合血管的足内侧穿支皮瓣修复手部软组织缺损11例,软组织缺损面积2 cm×2 cm～9cm×4 cm.结果足底内侧动脉向<足母>展肌和趾短屈肌肌间隙内发出2支相对恒定的足底内侧皮穿支,供养足底内侧皮瓣;向<足母>展肌和舟楔骨间隙内发出2支相对恒定的足内侧皮穿支,供养足内侧皮瓣.11例足内侧穿支皮瓣完全成活,皮瓣面积2 cm×3 cm～11 cm×5 cm.随访6～24个月,皮瓣质地优良,外形与功能恢复满意,供区愈合良好.结论以足内侧穿支血管营养的足内侧穿支皮瓣血供可靠,质地优良,是修复手部软组织缺损的良好选择.
목적 연구족내측천지피판적응용해부급수복수부연조직결손적림상효과.방법 10측성인족과표본경동동맥주입홍색유효액,해부관측족저내측동맥천지혈관재족내측구적분포、기원등.림상설계문합혈관적족내측천지피판수복수부연조직결손11례,연조직결손면적2 cm×2 cm～9cm×4 cm.결과 족저내측동맥향<족모>전기화지단굴기기간극내발출2지상대항정적족저내측피천지,공양족저내측피판;향<족모>전기화주설골간극내발출2지상대항정적족내측피천지,공양족내측피판.11례족내측천지피판완전성활,피판면적2 cm×3 cm～11 cm×5 cm.수방6～24개월,피판질지우량,외형여공능회복만의,공구유합량호.결론 이족내측천지혈관영양적족내측천지피판혈공가고,질지우량,시수복수부연조직결손적량호선택.
Objective To reports to anatomy and clinical application of the medialis pedis perforator flap. Methods The origin, course, distribution and out diameter of medial plantar perforators, which were located at the septums between the abductor hallucis muscle and the flexor digitorum brevis, and between the abductor hallucis muscle and the skeleton, were observed on 10 sides adult feet specimens perfused with red latex. 11 free medialis pedis perforator flaps were transferred for soft-tissue defect in hand. The areas of tissue defect ranged from 2 cm x 2 cm - 9 cmx 4 cm. Results The medial plantar artery sends 2 perforators with regular anatomy through the septum between the abductor hallucis muscle and the flexor digitomm bre-vis, and 2 perforators with regular anatomy through the septum between the abductor hallucis muscle and nav-icluar bone and the medial cuneiform bone. These perforators supply the medial plantar flap and medialis pedis flap respectively. All of the 11 cases of free medialis pedis perforator flap survived uneventfully. The flap areas ranged from 2 cm × 3 cm - 11 cm× 5 cm. The appearance and functional results were satisfactory with following up for 6 to 24 months. Conclusion The free medialis pedis perforator flap is a good method in repairing soft-tissue defect in hand.