CAJ | 학술논문

目的报道以桥式交叉逆行股前外侧皮瓣转移修复对侧小腿软组织缺损的方法和效果.方法对于小腿中下段皮肤软组织缺损伴对侧小腿软组织损伤或胫后动脉破坏5例,采用对侧逆行股前外侧皮瓣桥式交叉转移予以修复. 结果术后皮瓣血运良好,6周后断蒂,皮瓣均存活.术后随访12～15个月,皮瓣质地优良、外形美观,伴骨骼、肌腱缺损者均顺利完成二期修复手术.供区愈合良好,供侧肢体无明显影响. 结论对于小腿中下段较大面积皮肤软组织缺损伴周围软组织受损,且对侧小腿血管质量不佳的病例,以对侧逆行股前外侧皮瓣桥式交叉转移修复是一种优良的手段.
목적 보도이교식교차역행고전외측피판전이수복대측소퇴연조직결손적방법화효과.방법 대우소퇴중하단피부연조직결손반대측소퇴연조직손상혹경후동맥파배5례,채용대측역행고전외측피판교식교차전이여이수복. 결과 술후피판혈운량호,6주후단체,피판균존활.술후수방12～15개월,피판질지우량、외형미관,반골격、기건결손자균순리완성이기수복수술.공구유합량호,공측지체무명현영향. 결론 대우소퇴중하단교대면적피부연조직결손반주위연조직수손,차대측소퇴혈관질량불가적병례,이대측역행고전외측피판교식교차전이수복시일충우량적수단.
Objective To report the technique and effect of distally based, cross-leg, anterolateral thigh flap for reconstructing the soft tissue defects in middle and distal thirds of the contralateral leg. Methods Five patients of soft tissue defects in lower legs associated with injuries to the eontralateral legs were treated with distally based, cross-leg, anterolateral thigh flaps of the contralateral limbs. Results After the pedicle division at 6 weeks postoperatively, the 5 flaps all survived. And the blood supply of flaps remained steady when followed up for 12 to 15 months. The flaps possessed favorable contours, and allowed successful secondary repair of injured bones or tendons. The donor sites healed primarily, and no influence was observed to the donor limbs. Conclusion For the soft tissue defects in middle and distal thirds of leg associated with damage to the surrounding tissues and arterial injury of the contralateral leg, cross-leg transplantation of the contralateral distally based anterolateral thigh flap is a good option of reconstruction.