CAJ | 학술논문

目的：比较跗内侧游离静脉皮瓣与前臂游离静脉皮瓣修复手部软组织缺损的临床疗效，为临床选择提供理论依据。方法回顾性分析我院2011年9月～2012年9月收治的手部软组织缺损并进行游离静脉皮瓣修复治疗的63例的病史资料，根据采用皮瓣的类型分为跗内侧游离静脉皮瓣组（35例）和前臂游离静脉皮瓣组（28例）。对比分析两组患者的临床疗效以及远期恢复情况。结果跗内侧游离静脉皮瓣组住院时间、术后感染率、Ⅰ期愈合率均显著优于前臂游离静脉皮瓣组，差异有统计学意义（ P＜0.05）。治疗1年后，跗内侧游离静脉皮瓣组手功能恢复情况显著优于前臂游离静脉皮瓣组，差异有统计学意义（P＜0.05）。结论跗内侧游离静脉皮瓣具有“类生理性皮瓣”的特性，移植后恢复快，治疗效果满意。
목적：비교부내측유리정맥피판여전비유리정맥피판수복수부연조직결손적림상료효，위림상선택제공이론의거。방법회고성분석아원2011년9월～2012년9월수치적수부연조직결손병진행유리정맥피판수복치료적63례적병사자료，근거채용피판적류형분위부내측유리정맥피판조（35례）화전비유리정맥피판조（28례）。대비분석량조환자적림상료효이급원기회복정황。결과부내측유리정맥피판조주원시간、술후감염솔、Ⅰ기유합솔균현저우우전비유리정맥피판조，차이유통계학의의（ P＜0.05）。치료1년후，부내측유리정맥피판조수공능회복정황현저우우전비유리정맥피판조，차이유통계학의의（P＜0.05）。결론부내측유리정맥피판구유“류생이성피판”적특성，이식후회복쾌，치료효과만의。
Objective To compare the clinical efficacy of inside tarsal free vein flap and forearm free vein flap in treating hand soft tissue defect ,and to provide a theoretical basis for the clinical selection .Methods The clinical data of 63 patients with hand soft tissue defect were retrospectively analyzed ,who were admitted into our hospi-tal from Sep.2011 to Sep.2012.All cases were divided into observation group and control group according to the flap type.Thirty-five patients using inside tarsal free vein flap were taken as observation group ,28 patients using forearm free vein flap were taken as control group .The clinical efficacy and long-term recovery of the two groups were com-pared.Results The hospitalization time,postoperative infection and primary stage healing rate in the observation group were significantly better than those in the control group ( P<0.05) .One year after treatment ,the hand function of the observation group was significantly better than that of the control group ,with statistical difference (P<0.05). Conclusion The inside tarsal free vein flap can achieve quick recovery and satisfactory curative effect .