CAJ | 학술논문

目的：探讨跨区供血小腿前外侧皮瓣修复治疗大面积足部皮肤组织缺损的疗效。方法回顾性分析40例大面积足部皮肤组织缺损患者的病史资料，根据治疗方法分为观察组和对照组，跨区供血小腿前外侧皮瓣移植治疗为观察组，股前外侧皮瓣移植治疗为对照组，观察2组治疗后创面愈合情况及足部行走能力。结果观察组创面愈合程度、Holden步行能力、FAC步行能力均好于对照组(P<0.05)，创面愈合时间(15.2±6.2) d、供区皮肤结痂时间均(9.4±1.5) d短于对照组(P<0.05)。结论跨区供血小腿前外侧皮瓣修复能够促进创面愈合、改善行走功能，具有积极的临床价值。
목적：탐토과구공혈소퇴전외측피판수복치료대면적족부피부조직결손적료효。방법회고성분석40례대면적족부피부조직결손환자적병사자료，근거치료방법분위관찰조화대조조，과구공혈소퇴전외측피판이식치료위관찰조，고전외측피판이식치료위대조조，관찰2조치료후창면유합정황급족부행주능력。결과관찰조창면유합정도、Holden보행능력、FAC보행능력균호우대조조(P<0.05)，창면유합시간(15.2±6.2) d、공구피부결가시간균(9.4±1.5) d단우대조조(P<0.05)。결론과구공혈소퇴전외측피판수복능구촉진창면유합、개선행주공능，구유적겁적림상개치。
Objective To study the effect of anterolateral calf flap with extra-territorial blood supply in repairing large area of foot skin tissue injury. Methods 40 cases of arge area of foot skin tissue injury were divided into the observation group which were given anterolateral crural flap transplantation and the control group which were given anterolateral thigh flap transplantation. The wound healing condition and walking ability were observed. Results The level of wound healing, Holden walking ability and FAC walking ability were better than control group (P<0. 05). In the observation group, wound healing time was (15. 2 ± 6. 2) d and donor skin crusting time was (9. 4 ± 1. 5) d, which were less than the control group(P<0. 05). Conclusion Anterolateral calf flap with extra-territorial blood supply has positive clinical value as it can improve wound healing and walking function.