CAJ | 학술논문

　　目的：探讨易引起不同创伤肢体组织瓣移植手术失败的成因及其预防对策。方法：对50例不同创伤肢体组织瓣移植手术失败的成因及对策进行回顾性分析。结果：手术失败的最主要原因为静脉回流障碍，其次为切取技术不良，血肉与皮瓣分离；其余原因有皮瓣设计不合理、血管蒂扭转和受压、血管吻合支损伤，皮瓣血供障碍、血肿压迫、损伤部位切取皮瓣、血管危象发现处理不及时、供区组织坏死、血管变异等。结论：熟练的操作技能、渊博的专业知识与丰富的临床工作经验是不同创伤肢体组织瓣移植手术成功的关键。
　　목적：탐토역인기불동창상지체조직판이식수술실패적성인급기예방대책。방법：대50례불동창상지체조직판이식수술실패적성인급대책진행회고성분석。결과：수술실패적최주요원인위정맥회류장애，기차위절취기술불량，혈육여피판분리；기여원인유피판설계불합리、혈관체뉴전화수압、혈관문합지손상，피판혈공장애、혈종압박、손상부위절취피판、혈관위상발현처리불급시、공구조직배사、혈관변이등。결론：숙련적조작기능、연박적전업지식여봉부적림상공작경험시불동창상지체조직판이식수술성공적관건。
Objective:To investigate the causes that easy to lead to different traumatic limb tissue flap transplantation failure and their prevention countermeasures. Methods:Retrospective analyzed the failure causes of different traumatic limb tissue flap transplantation and their countermeasures in 50 cases. Results:The most important reason for the failure of surgery was vein drainage disturbance, followed by adverse removing technology, separation of flesh and flap;the remaining reasons were:unreasonable flap design, the torsion and compression of vascular pedicle, injury of vascular anastomosis, flap blood supply disorder, compression of hematoma, removing the flap in lesion, the not timely found and treated for vascular crisis, necrosis of donor tissues, blood vessels variation. Conclusion:Skilled operating skills, profound professional knowledge and extensive clinical expe-rience are success keys of different traumatic limb tissue flap transplantation.