CAJ | 학술논문

目的探讨采用各级政(足母)趾胫侧趾底动脉逆行岛状皮瓣修复(足母)趾远端软组织缺损的临床效果.方法 2003至2008年,根据(足母)趾远端软组织缺损的情况,对18例患者采用(足母)趾胫侧趾底动脉逆行岛状皮瓣修复.通过随访观察(足母)趾外形、功能恢复情况,了解临床疗效,总结优缺点.结果术后随访6～12个月,18例皮瓣全部成活,修复后(足母)趾远端外观尚好,趾端无明显触痛,功能恢复满意.结论躅趾胫侧趾底动脉逆行岛状皮瓣血管走行相对较为恒定,皮瓣供、受区距离较近,转移方便,手术操作容易,是修复(足母)趾远端软组织缺损的较好方法.
목적 탐토채용각급정(족모)지경측지저동맥역행도상피판수복(족모)지원단연조직결손적림상효과.방법 2003지2008년,근거(족모)지원단연조직결손적정황,대18례환자채용(족모)지경측지저동맥역행도상피판수복.통과수방관찰(족모)지외형、공능회복정황,료해림상료효,총결우결점.결과 술후수방6～12개월,18례피판전부성활,수복후(족모)지원단외관상호,지단무명현촉통,공능회복만의.결론 촉지경측지저동맥역행도상피판혈관주행상대교위항정,피판공、수구거리교근,전이방편,수술조작용역,시수복(족모)지원단연조직결손적교호방법.
Objective To study the therapeutic effect of reverse island flap based on tibial plantar digital artery for soft tissue defect at the distal end of first toe. Methods 18 cases with soft tissue defect at the distal end of first toe were treted with reverse island flap based on tibia] plantar digital artery. Results The patients were followed up for 6 ～ 12 months(mean 9.5 months). All the flaps survived completely with good functional and cosmetic results. Conclusions The reversed island flap based on tibia] plantar digital artery has a reliable blood supply and is adjacent to the recipient area. It is practical and suitable for soft tissue defect at the distal end of first toe.