CAJ | 학술논문

目的探讨腓肠神经营养血管逆行岛状皮瓣修复小腿下1/3、踝、跟、足部软组织缺损的临床应用效果.方法以腓肠神经及其营养血管为蒂,根据创面大小,在小腿后侧切取皮瓣,逆行转移修复小腿下1/3、踝、跟、足部软组织缺损31例,切取皮瓣范围5cm×6cm～12cm×17cm,观察术后皮瓣成活情况.结果术后26例(83.9%)逆行皮瓣全部成活,5例远端浅表或部分坏死,经换药、Ⅱ期清创缝合或植皮后创面愈合.结论腓肠神经营养血管逆行岛状皮瓣操作技术简便、易行、不需要吻合血管、不牺牲主要血管,成活率高,便于各级医院开展.
목적 탐토비장신경영양혈관역행도상피판수복소퇴하1/3、과、근、족부연조직결손적림상응용효과.방법 이비장신경급기영양혈관위체,근거창면대소,재소퇴후측절취피판,역행전이수복소퇴하1/3、과、근、족부연조직결손31례,절취피판범위5cm×6cm～12cm×17cm,관찰술후피판성활정황.결과 술후26례(83.9%)역행피판전부성활,5례원단천표혹부분배사,경환약、Ⅱ기청창봉합혹식피후창면유합.결론 비장신경영양혈관역행도상피판조작기술간편、역행、불수요문합혈관、불희생주요혈관,성활솔고,편우각급의원개전.
Objective To evaluate the surgical effect of applying reverse sural neurofasciomusculocutaneous flap to rehabilitate limb parenchyma wound.Methods Assess the size of wound on limb,cut incisor flap from posterior crus,then use sural nerve and nutrient vessel as pedicel.The flag was reversely transfened to rehabilitate limb wound.There are 31 cases with parenchyma wounds,include in lower 1/3 crus wound,ankle wound,heel wound,and foot wound.The size of flap is range from 5cm×6cm to 12cm×17cm.Observe survival rate of surgical flap.Results 26 cases(83.9%)of surgical flag are alive,while 5 cases occurred necrosis on distal superficial flag or part of the flag.The five cases finally healing through secondary suture and skin-grafting.Conclusion As a new surgery therapy,applying reverse sural neuro-fasciomusculocutaneous flap to rehabilitate limb parenchyma wound is effective.It is character with simple,available,do not need to anastomose vessel,reserve main vessel and high survival rate.So it is worth recommend to widely use in clinical practice.