CAJ | 학술논문

目的研究腓动脉踝上穿支为蒂的链型螺旋浆皮瓣修复足、踝部软组织缺损的临床疗效及意义. 方法 22例足、踝部的软组织缺损患者采用腓动脉踝上穿支为蒂的链型螺旋浆皮瓣进行修复,皮瓣面积最大21 cm×11 cm,最小5 cm×4 cm. 结果 22例皮瓣全部成活,术后无血管危象,无皮瓣淤紫及水泡；供区处植皮亦全部存活,6例供区切口直接缝合,切口均一期愈合.术后随访6 ～ 14个月,平均10.2个月,随访病例皮瓣皮肤颜色红润,质地优良,外观臃肿不明显,皮瓣弹性良好,无瘢痕挛缩,不影响足踝关节活动度,皮瓣供区亦无明显功能影响,患肢外观及行走功能良好. 结论腓动脉踝上穿支为蒂的链型螺旋浆皮瓣是修复足背部软组织缺损的一种良好方法.该皮瓣具有血管恒定、设计科学、血流符合生理、切取方便、血供丰富且不牺牲主要动脉的优点,临床实用性较强,有推广价值.
목적 연구비동맥과상천지위체적련형라선장피판수복족、과부연조직결손적림상료효급의의. 방법 22례족、과부적연조직결손환자채용비동맥과상천지위체적련형라선장피판진행수복,피판면적최대21 cm×11 cm,최소5 cm×4 cm. 결과 22례피판전부성활,술후무혈관위상,무피판어자급수포；공구처식피역전부존활,6례공구절구직접봉합,절구균일기유합.술후수방6 ～ 14개월,평균10.2개월,수방병례피판피부안색홍윤,질지우량,외관옹종불명현,피판탄성량호,무반흔련축,불영향족과관절활동도,피판공구역무명현공능영향,환지외관급행주공능량호. 결론 비동맥과상천지위체적련형라선장피판시수복족배부연조직결손적일충량호방법.해피판구유혈관항정、설계과학、혈류부합생리、절취방편、혈공봉부차불희생주요동맥적우점,림상실용성교강,유추엄개치.
Objective To explor the effect of using the chain-type pedicled propeller flap based on perforators of peroneal artery to repair soft tissue defects of the foot and ankle.Methods All 22 cases with soft tissue defect of the dorsum of the foot and ankle area had been repaired by the chain-type pedicled propeller flap based on perforators of peroneal artery.Those flaps ranged from 21 cm × 11 cm to 5 cm × 4 cm.Results All of the 22 flaps survived.Follow-up from 6 to 14 months(mean 10.2 months).The appearance and function of these flaps were satisfactory.Conclusion The application of the chain-type pedicled propeller flap based on perforators of peroneal artery can be an ideal for covering dorsum soft defects as a simple,safe,and versatile procedure.