CAJ | 학술논문

目的探讨角形穿支筋膜皮瓣修复小腿中小面积缺损的临床效果。方法 2008年4月至2010年11月，临床应用角形穿支筋膜皮瓣修复12例门诊小腿皮肤缺损患者，男4例，女8例，包括基底细胞癌、鳞癌、外伤、血管瘤、色素痣各2例，鲍温氏病、骨外露各1例，手术修复范围为3 cm×3 cm～5 cm×5 cm。结果临床应用12例，l例远端出现轻微血运障碍，经换药后愈合，余11例皮瓣全部成活良好。经随访6个月至2年，小腿功能及外形恢复满意。结论小腿角形穿支筋膜皮瓣操作简单，成活率高，是修复小腿中小面积缺损的一种较好的方法。
목적 탐토각형천지근막피판수복소퇴중소면적결손적림상효과。방법 2008년4월지2010년11월，림상응용각형천지근막피판수복12례문진소퇴피부결손환자，남4례，녀8례，포괄기저세포암、린암、외상、혈관류、색소지각2례，포온씨병、골외로각1례，수술수복범위위3 cm×3 cm～5 cm×5 cm。결과 림상응용12례，l례원단출현경미혈운장애，경환약후유합，여11례피판전부성활량호。경수방6개월지2년，소퇴공능급외형회복만의。결론 소퇴각형천지근막피판조작간단，성활솔고，시수복소퇴중소면적결손적일충교호적방법。
Objective To explore the application of the horn shaped fascio-cutaneous flap for the middle or small defect of low leg. Methods Between April 2008 and November 2010,12 cases were covered the defects with horn flap in the leg, in which 4 cases were male, and 8 cases were female, such as squamous cell carcinoma, basal cell carcinoma, angioneoplasm, trauma and so on. Surgical repair of tissue defect size of about 3 cm × 3 cm- 5 cm × 5 cm. Results Twelve cases were treated. Vascular deficiency happened at the distal end of one flap. All the other 11 flaps survived. The appearance and functional results were satisfactory with following up for 6 to 24 months. Conclusions The horn shaped fasciocutaneous flap is simple, reliable, easy to perform, has a low complication rate, is cosmetically acceptable and provides an alternative for the defect of the leg.