CAJ | 학술논문

目的：观察游离髂骨联合腹股沟皮瓣移植修复手指背侧骨皮缺损的临床效果。方法自2008年2月至2011年12月我中心收治的7例手指背侧骨皮缺损的患者，手术方案为：3例污染较轻者经急诊清创后Ⅰ期给予修复，4例感染者Ⅰ期彻底清除病灶，控制感染后，Ⅱ期行游离髂骨植骨微型接骨板内固定手指于功能位，腹股沟皮瓣修复软组织缺损。结果术后3~4周断蒂，皮瓣全部成活；临床植骨愈合时间为8周3例，9周4例，平均8.5周；术后3个月复查全部病例均达到骨性愈合。随访10~36个月，皮瓣质地良好，外观满意，髂骨塑形良好，未出现骨髓炎、骨不愈合等情况。结论游离髂骨联合腹股沟皮瓣移植修复手指骨皮缺损是一种理想方法，简单易行，值得临床推广。
목적：관찰유리가골연합복고구피판이식수복수지배측골피결손적림상효과。방법자2008년2월지2011년12월아중심수치적7례수지배측골피결손적환자，수술방안위：3례오염교경자경급진청창후Ⅰ기급여수복，4례감염자Ⅰ기철저청제병조，공제감염후，Ⅱ기행유리가골식골미형접골판내고정수지우공능위，복고구피판수복연조직결손。결과술후3~4주단체，피판전부성활；림상식골유합시간위8주3례，9주4례，평균8.5주；술후3개월복사전부병례균체도골성유합。수방10~36개월，피판질지량호，외관만의，가골소형량호，미출현골수염、골불유합등정황。결론유리가골연합복고구피판이식수복수지골피결손시일충이상방법，간단역행，치득림상추엄。
Objective To observe the free iliac and groin flap transplantation to repair finger dorsal skin defects of clinical effect. Methods From February 2008 to December 2011, the center of 7 cases of finger dorsal skin defects of patients, operation scheme is: 3 cases of pollution is light person after emergency debridement in stageⅠto repair, 4 cases of patients with stage I thoroughly remove lesions, infection control, phaseⅡline free iliac bone graft tiny finger bone plate internal fixation in function, groin skin flap to repair soft tissue defect. Results after 3~4 weeks off, the flaps all survived. clinical bone graft healing time of 8 weeks 3 cases, 4 cases were 9 weeks, an average of 8.5 weeks;After 3 months review all cases achieved bony healing. 10-36 months follow-up, flap quality of a material is good, the satisfactory appearance, iliac crest shape is good, does not appear osteomyelitis, bone healing, and so on and so forth. Conclusion Free iliac and groin flap transplantation finger bone skin repair is an ideal method, simple, worth clinical promotion.