CAJ | 학술논문

目的探讨带蒂组合皮瓣修复足踝部严重创伤的临床疗效。方法2000年10月至2012年5月，对13例足踝部严重创伤，合并皮肤软组织缺损的患者，使用腓肠神经营养血管皮瓣和交腿皮瓣的组合皮瓣进行修复。结果术后皮瓣成活12例，坏死1例，成活皮瓣切口均一期愈合。术后随访6~12个月，患者功能恢复良好。结论组合皮瓣治疗下肢足踝部严重创伤，疗效明确，功能恢复良好，是治疗下肢足踝部严重创伤的理想方法。
목적탐토대체조합피판수복족과부엄중창상적림상료효。방법2000년10월지2012년5월，대13례족과부엄중창상，합병피부연조직결손적환자，사용비장신경영양혈관피판화교퇴피판적조합피판진행수복。결과술후피판성활12례，배사1례，성활피판절구균일기유합。술후수방6~12개월，환자공능회복량호。결론조합피판치료하지족과부엄중창상，료효명학，공능회복량호，시치료하지족과부엄중창상적이상방법。
Objective To explore the efficacy of combined skin flaps for the repair of severe tissue defects of ankle and foot. Methods From Oct. 2000 to May. 2012, 13 patients with severe ankle and foot trauma were repaired by sural neurovascular flap and cross-leg flap. Results Twelve flaps were survived and one case suffered from necrosis. Survived flaps were healed by first intension. All the patients were followed up for 6 to 12 months, good functional recovery was observed. Conclusion Combined skin flap is a good way to repair severe tissue defects of ankle and foot with its safety, simplicity and good functional restoration.