CAJ | 학술논문

目的探讨前臂微型穿支皮瓣修复手指皮肤缺损的临床应用.方法对13例手指皮肤缺损患者,缺损面积为1.8 cm×3.0 cm～2.6 cm×5.0 cm,分别以桡、尺动脉为轴心血管,切取前臂微型穿支皮瓣修复.其中7例指神经与皮神经缝合.前臂供区直接缝合.结果 13例皮瓣全部存活,4例3个月后行皮瓣整形术.术后随访2个月至2年,平均7个月,手指功能与外观满意,皮肤饱满,7例缝合皮神经的皮瓣感觉恢复良好,两点分辨觉为4～6 mm.结论前臂微型穿支皮瓣游离移植修复手指皮肤缺损是一种较为理想的方法.
목적 탐토전비미형천지피판수복수지피부결손적림상응용.방법 대13례수지피부결손환자,결손면적위1.8 cm×3.0 cm～2.6 cm×5.0 cm,분별이뇨、척동맥위축심혈관,절취전비미형천지피판수복.기중7례지신경여피신경봉합.전비공구직접봉합.결과 13례피판전부존활,4례3개월후행피판정형술.술후수방2개월지2년,평균7개월,수지공능여외관만의,피부포만,7례봉합피신경적피판감각회복량호,량점분변각위4～6 mm.결론 전비미형천지피판유리이식수복수지피부결손시일충교위이상적방법.
Objective To explore the clinical applications of perforator flaps of the forearm for repairing skin defect of the finger.Methods Thirteen cases with skin defects of the fingers measuring from 1.8 cm×3.0 cm to 2.6 cm× 5.0 cm were treated with forearm perforator flaps.Mini-flaps based on perforators of either the mdial artery or ulnar artery were harvested and transferred to cover the defects.The cutaneous nerve of the flap was coapted to the digital nerve of the recipient finger in 7 cases.All the forearm donor sites were directly dosed.Results All 13 flaps survived.Secondary flap plasty was done in 4 cases 3 months after the first operation.Postoperative flollow up ranged from 2 months to 2 years,with an average of 7 months.The function and appearance of the fingers were satisfactory.Two-point discriminadon recovered to 4 to 6 mm in the cases that underwent nerve coaptation.Conclusion Mini forearm perforator flap transfer is an ideal method for repairing skin defect of the finger.