CAJ | 학술논문

目的：介绍游离趾腓侧皮瓣修复指腹皮肤软组织缺损的临床经验。方法对21例手指指腹皮肤软组织缺损者，采用游离趾腓侧皮瓣修复，并观察疗效。结果本组21例皮瓣均成活，切口均一期愈合，供足植皮成活良好。术后随访3～28个月，皮瓣色泽、质地与正常手指基本相同，皮瓣无萎缩或色素沉着，外形饱满，两点分辨觉为4～10 mm，手指伸、屈功能良好。根据中华医学会手外科学会上肢部分功能评定试用标准评定，优18，良3例。供足外形及功能无影响。结论采用游离趾腓侧皮瓣修复指腹皮肤软组织缺损，虽然手术风险较大，但修复后能最大限度地恢复手指外形、屈伸功能，以及精细感觉，是一种值得推广的术式。
목적：개소유리지비측피판수복지복피부연조직결손적림상경험。방법대21례수지지복피부연조직결손자，채용유리지비측피판수복，병관찰료효。결과본조21례피판균성활，절구균일기유합，공족식피성활량호。술후수방3～28개월，피판색택、질지여정상수지기본상동，피판무위축혹색소침착，외형포만，량점분변각위4～10 mm，수지신、굴공능량호。근거중화의학회수외과학회상지부분공능평정시용표준평정，우18，량3례。공족외형급공능무영향。결론채용유리지비측피판수복지복피부연조직결손，수연수술풍험교대，단수복후능최대한도지회복수지외형、굴신공능，이급정세감각，시일충치득추엄적술식。
Objective To introduce the clinical experience of freeing great toe fibular flap for repairing finger skin and soft tissue defect. Methods 21 cases with finger pulp defect of skin and soft tissue, we freed the great toe fibular flap for repairing and observed the curative effect. Results The flaps in 21 cases survived, incision healed, for the full graft skin survived well. The patients were followed up for 3 to 28 months, skin color, texture is basically the same as normal finger, no atrophy or pigmentation, plump shape, two-point discrimination was 4~10 mm, flexor and extention function was good. According to the extremity functional evaluation standard of Chinese Medical Association, excellent was in 18, good was in 3 cases. There was no effect on donor foot function and appearance. Conclusion Freeing the great toe fibular flap for repairing finger pulp skin and soft tissue defect, although there is operation risk, but after the repairing, it can maximize the recovery of finger flexion and extension function, appearance, and fine feeling;so it is a kind of technique for worthy of popularization.