CAJ | 학술논문

目的：了解跗内侧游离静脉皮瓣的解剖结构，将研究结果应用于临床工作。方法取10例成人足部截肢的跗内侧区皮肤进行病理切片，了解此处皮肤静脉血管分布。临床应用26例，以跗内侧区皮肤的深层静脉血管为蒂，大致取出4 cm ×6 cm 的跗内侧静脉皮瓣，修复指部缺损。记录26例皮瓣成活情况。结果跗内侧区皮肤较恒定地拥有两层的静脉分布，且血管密度丰富。26例运用跗内侧静脉皮瓣的临床手部修复实验，皮瓣24例存活，Ⅰ期愈合23例，Ⅱ期愈合1例，皮瓣坏死2例，存活皮瓣远期效果良好。结论跗内侧游离静脉皮瓣适宜作吻合血管游离移植修复手指皮肤缺损。
목적：료해부내측유리정맥피판적해부결구，장연구결과응용우림상공작。방법취10례성인족부절지적부내측구피부진행병리절편，료해차처피부정맥혈관분포。림상응용26례，이부내측구피부적심층정맥혈관위체，대치취출4 cm ×6 cm 적부내측정맥피판，수복지부결손。기록26례피판성활정황。결과부내측구피부교항정지옹유량층적정맥분포，차혈관밀도봉부。26례운용부내측정맥피판적림상수부수복실험，피판24례존활，Ⅰ기유합23례，Ⅱ기유합1례，피판배사2례，존활피판원기효과량호。결론부내측유리정맥피판괄의작문합혈관유리이식수복수지피부결손。
Objective To know the anatomy of the arterialized venous flap of medial tarsal,and the research result was applied in future clinical practice. Methods Pathological sections were performed on distribution of the medial tasal skin from 10 cases of adult foot amputation and the vascularity was observed. The finger defect was reconstruction by the arterialized venous flap of medial tarsal,which was cut in about 4 cm × 6 cm size in 26 clinical application cases. Results The vein distribution of the skin in the medial tarsal region had constant regions that contained two layers veins. The distribution was very dense. 24 of 26 patients received the arterialized venous flap of medial tarsal were survived by repairing the finger skin defect. 1 flap suffered epidermolysis but recovered without full thickness loss;2 flaps were failed. Conclusion The arterialized ve-nous flap of medial tarsal is reliable efficacy,and it can be widely applied in the clinical.