CAJ | 학술논문

目的探讨应用游离修薄股前外侧穿支皮瓣修复前臂、手、足部创面的临床疗效.方法先确定皮瓣穿支血管部位,以此为中心,设计皮瓣并切取,保留阔筋膜盘约4.0 cm × 3.0 cm～3.0 cm×2.5 cm:"沙丘样"削除阔筋膜、皮下脂肪,皮瓣四周可将皮下脂肪完全削去,仅保留真皮层.采用游离修薄股前外侧穿支皮瓣修复前臂、手、足部创伤性软组织缺损15例.结果全部病例术后无血管危象发生,有1例修复前臂创面皮瓣远端约2.0 cm×1.2 cm浅表坏死,经换药愈合.15例术后经3个月～2年随访,皮瓣外形、质地良好,两点辨别觉为8.0～10.0 mm.结论游离修薄股前外侧穿支皮瓣外形、质地优良,受区感觉恢复良好,对供区创伤小,不需二期整形,是修复手、足部创面优良供区.
목적 탐토응용유리수박고전외측천지피판수복전비、수、족부창면적림상료효.방법 선학정피판천지혈관부위,이차위중심,설계피판병절취,보류활근막반약4.0 cm × 3.0 cm～3.0 cm×2.5 cm:"사구양"삭제활근막、피하지방,피판사주가장피하지방완전삭거,부보류진피층.채용유리수박고전외측천지피판수복전비、수、족부창상성연조직결손15례.결과 전부병례술후무혈관위상발생,유1례수복전비창면피판원단약2.0 cm×1.2 cm천표배사,경환약유합.15례술후경3개월～2년수방,피판외형、질지량호,량점변별각위8.0～10.0 mm.결론 유리수박고전외측천지피판외형、질지우량,수구감각회복량호,대공구창상소,불수이기정형,시수복수、족부창면우량공구.
Objective To explore clinical effect of repairing soft tissue defect in forearm, hand and foot with free super-thin anterolateral thigh perforator flaps. Methods At first the site of perforator vessels were determined by Doppler, then the flaps were designed and harvested with the site as center; the fascia lata and subcutaneous fat were removed by sandhill-likely only the 4.0 cm × 3.0 cm - 3.0 cm×2.5 cm disc-like fascia lata and dermis layer were reserved. 15 traumatic soft tissue defects including forearm, hand and foot were repaired with the ree super-thin antemlateral thigh perforator flaps. Results No vascular crisis happened and all skin grafts survived in donor sites. 2.0 cm×1.2 cm of the distal of flap was necrosis in 1 case and it was healed by dress changing. 15 cases were followed up 3 months-2 years and the average is 6 months. The contour and texture of all flaps were good and two point discrimination (2-PD) was about 8-10 mm of. Conclusions The contour and texture of free super-thin anterolateral thigh perforator flap are good, the feeling of recipient site recovered well, it's less injury for donor site and there is no reshaping for flap. It is a fineness donor site for repairing soft tissue defects in hand and foot.