CAJ | 학술논문

目的：探讨尺动脉腕上支穿支皮瓣游离移植修复手部皮肤软组织缺损的疗效。方法对2012年1月～2013年10月我院收治的19例手部皮肤软组织缺损患者行尺动脉腕上支穿支皮瓣游离移植手术，血管采用端端吻合法。结果19例患者术后皮瓣全部存活，经过随访，皮瓣的外形、质地及色泽均满意，手指功能及感觉恢复均满意，两点辨别觉8～17 mm，平均9例两点辨别觉＜10 mm，皮瓣感觉恢复S3级以上，供区感觉对日常工作和生活无影响。手指功能评定标准：优15例，良3例，差1例，优良率94.7%。结论尺动脉腕上支穿支皮瓣游离移植修复手部皮肤软组织缺损效果显著，患者耐受度高，手指感觉及功能恢复良好，不影响手部外观，值得临床推广。
목적：탐토척동맥완상지천지피판유리이식수복수부피부연조직결손적료효。방법대2012년1월～2013년10월아원수치적19례수부피부연조직결손환자행척동맥완상지천지피판유리이식수술，혈관채용단단문합법。결과19례환자술후피판전부존활，경과수방，피판적외형、질지급색택균만의，수지공능급감각회복균만의，량점변별각8～17 mm，평균9례량점변별각＜10 mm，피판감각회복S3급이상，공구감각대일상공작화생활무영향。수지공능평정표준：우15례，량3례，차1례，우량솔94.7%。결론척동맥완상지천지피판유리이식수복수부피부연조직결손효과현저，환자내수도고，수지감각급공능회복량호，불영향수부외관，치득림상추엄。
Objective To explore feet wrist of artery perforators flap free transplantation repairing skin and soft tissure defect of hands. Methods From January 2012 to October 2013 in our hospital ,selected 19 cases of hand skin soft tis-sue defect in the patients with ulnar artery wrist free perforators flap transplant , blood vessels by end to end anasto-mosis method. Results In 19 patients with postoperative flaps all survived, and after follow-up, the appearance of the skin flap, texture and color are satisfied, finger function and sensation recovery are satisfied, two-point discrimination 8~17 mm,the average 9 points to distinguish sleep <10 mm,flap sensation recovery S3 class above,for area feel no ef-fect on daily work and life. Finger function evaluation criteria:15 cases were best,3 cases were better, and 1 case was poor, fine rate was 94.7%. Conclusion Wrist branch perforators flap repair of hand skin soft tissue defect free trans-plantation effect is remarkable,patient tolerance degree is high,the fingers feel and function recovered well,does not affect the hand appearance,worth clinical promotion use.