CAJ | 학술논문

目的探讨应用游离足跗外侧皮瓣移植修复手部软组织缺损的临床效果.方法对35例手部软组织缺损,采用以足跗外侧动脉血管为蒂的足跗外侧皮瓣游离移植,皮瓣切取面积为4 cm×3 cm～8 cm×4 cm.结果术后皮瓣全部存活,经6～ 18个月的随访,皮瓣质地好,不臃肿,色泽与手部皮肤相似,感觉恢复良好,手功能满意.结论足跗外侧皮瓣的血管解剖恒定、皮瓣质量好,是修复中小面积的手部软组织缺损的有效方法.
목적 탐토응용유리족부외측피판이식수복수부연조직결손적림상효과.방법 대35례수부연조직결손,채용이족부외측동맥혈관위체적족부외측피판유리이식,피판절취면적위4 cm×3 cm～8 cm×4 cm.결과 술후피판전부존활,경6～ 18개월적수방,피판질지호,불옹종,색택여수부피부상사,감각회복량호,수공능만의.결론 족부외측피판적혈관해부항정、피판질량호,시수복중소면적적수부연조직결손적유효방법.
Objective To explore the clinical efficacy of repairing hand skin defect by free lateral tarsal flap transfer.Methods Lateral tarsal flap free transplantation based on the lateral tarsal artery was carried out to repair skin defects of the hand in 35 cases.The size of flap ranged from 4 cm × 3 cm to 8 cm × 4 cm.Results All skin flaps survived.The follow-up time was 6 to 18 months.The flaps showed good texture and color match with no bulkiness.The sensory recovery was good and hand function was satisfactory.Conclusion The free lateral tarsal flap has a relatively consistent vascular pedicle.The flap is easy to dissect,thus is a useful option to repair small and medium size skin defects in the hand.