CAJ | 학술논문

目的：报告腹壁下动脉穿支皮瓣游离移植修复四肢组织缺损临床应用结果。方法：自2006年1月至2012年1月，应用腹壁下动脉穿支皮瓣带蒂移植修复小腿（7例）和前臂（6例）软组织缺损13例，其中男9例，女4例；年龄21～45岁，平均33岁。软组织缺损范围7 cm×17 cm～8 cm×26 cm。外侧支和内侧支穿支皮瓣分别是7例和6例。供区直接缝合。结果：1例皮瓣发生小的皮缘裂开，术后1个月自然愈合，皮瓣全部成活。术后随访1．8～4．0年，平均2．8年，受区外形较好。结论：腹壁下动脉穿支皮瓣游离移植很适宜修复四肢软组织缺损，这种技术安全、可靠，可降低对供区的损伤。
목적：보고복벽하동맥천지피판유리이식수복사지조직결손림상응용결과。방법：자2006년1월지2012년1월，응용복벽하동맥천지피판대체이식수복소퇴（7례）화전비（6례）연조직결손13례，기중남9례，녀4례；년령21～45세，평균33세。연조직결손범위7 cm×17 cm～8 cm×26 cm。외측지화내측지천지피판분별시7례화6례。공구직접봉합。결과：1례피판발생소적피연렬개，술후1개월자연유합，피판전부성활。술후수방1．8～4．0년，평균2．8년，수구외형교호。결론：복벽하동맥천지피판유리이식흔괄의수복사지연조직결손，저충기술안전、가고，가강저대공구적손상。
Objective:To report the clinical application results of free deep inferior epigastric perforator flap in the repair of soft tissue defect. Methods:From January 2006 to January 2012,13 patients with soft tissue defect(7 cases in leg and 6 cas-es in forearm) underwent reconstruction with a free deep inferior epigastric perforator flap. There were 9 males and 4 females , aged from 21 to 45 years old with an average of 33 years. Soft tissue defect in the extremities were from 7 cm×17 cm to 8 cm×26 cm. The medial branch and lateral brangh flaps were 7 cases and 6 cases respectively. The donor site was closed directly. Re-sults:One patient developed small wound dehiscence ,which spontaneous healed at one month after surgery. All the flaps had survived completely. Follow up period ranged from 1.8 to 4.0 years with the mean of 2.8 years postoperatively. Satisfactory clinical results were obtained in 12 cases. A good contour was confirmed at the recipient area. Conclusion:The free deep infe-rior epigastric perforator flap for the extremities defects of soft tissue is a good option. This technique is safe and reliable ,and can decrease the injury of donor site.