CAJ | 학술논문

目的探讨胫后动脉穿支蒂混合供血皮瓣转移修复儿童小腿创面可行性.方法 2009年3月至2011年5月,对5例儿童小腿创面采用胫后动脉穿支蒂混合供血皮瓣转移修复,年龄4岁7个月至13岁.创面范围为4 cm×4 cm～7 cm×6 cm.皮瓣范围5 cm×5 cm～8 cm×7 cm,蒂长5～7em.3例皮瓣穿支位于小腿中下1/3附近,2例皮瓣穿支位于小腿中上1/3附近.2例胫骨骨折.供区植皮修复.结果 5例皮瓣完全成活,无一例出现血管危象或皮瓣坏死.伤口一期愈合、供区植皮完全成活.术后患儿均获随访,随访时间24～36个月,皮瓣色泽、质地、外形良好.12个月后随访骨折痊愈.患儿生长发育及下肢功能未见异常.结论儿童可切取胫后动脉穿支蒂混合供血皮瓣,该皮瓣可修复小腿创面,手术简单,血供可靠.
목적 탐토경후동맥천지체혼합공혈피판전이수복인동소퇴창면가행성.방법 2009년3월지2011년5월,대5례인동소퇴창면채용경후동맥천지체혼합공혈피판전이수복,년령4세7개월지13세.창면범위위4 cm×4 cm～7 cm×6 cm.피판범위5 cm×5 cm～8 cm×7 cm,체장5～7em.3례피판천지위우소퇴중하1/3부근,2례피판천지위우소퇴중상1/3부근.2례경골골절.공구식피수복.결과 5례피판완전성활,무일례출현혈관위상혹피판배사.상구일기유합、공구식피완전성활.술후환인균획수방,수방시간24～36개월,피판색택、질지、외형량호.12개월후수방골절전유.환인생장발육급하지공능미견이상.결론 인동가절취경후동맥천지체혼합공혈피판,해피판가수복소퇴창면,수술간단,혈공가고.
Objective To investigate the feasibility of repairing wound with the postior tibial artery perforator pedicled flap.Methods From March 2009 to May 2009,5 lower leg wounds in children (aged 4years 7months～ 13 years) were repaired with posterior tibial artery perforator pedicled flaps.The areas of wound ranged from 4 cm × 4 cm to 7 cm × 6 cm.The areas of the flap were 5 cm ×5 cm to 8 cm × 7 cm,the length of pedicle was 5 to 7 cm.Tibial fractures were seen in 2 patients.Donor sites were repaired with skin grafting.Results All the flaps and the skin grafts primarily survived.Follow-up after surgery ranged from 24 months to 36 months.The color,texture and appearance of the flaps were good.All tibia fractures primarily healed after 12 months.The growth and development of children was normal,and had no dysfunction.Conclusions Posterior tibial artery perforator pedicled flap could repair leg wounds with good outcome.