CAJ | 학술논문

目的：探讨应用胫后动脉皮支皮瓣转移修复小腿中下段软组织缺损的临床疗效。方法：2006年3月至2013年11月,我院收治17例各种原因所致的小腿中下段软组织缺损应用胫后动脉皮支皮瓣转移修复,皮瓣切取最大面积15 cm ×11 cm。结果：14例皮瓣全部成活,3例皮瓣远端部分坏死,经换药清创缝合后创面愈合。随访3~18个月,皮瓣外观、质地、色泽均良好,仅皮肤感觉部分缺失。结论：胫后动脉皮支皮瓣血管解剖恒定,此术式不损伤小腿主干血管,手术操作简单实用,是一种较理想的修复小腿中下段软组织缺损的手术方法。
목적：탐토응용경후동맥피지피판전이수복소퇴중하단연조직결손적림상료효。방법：2006년3월지2013년11월,아원수치17례각충원인소치적소퇴중하단연조직결손응용경후동맥피지피판전이수복,피판절취최대면적15 cm ×11 cm。결과：14례피판전부성활,3례피판원단부분배사,경환약청창봉합후창면유합。수방3~18개월,피판외관、질지、색택균량호,부피부감각부분결실。결론：경후동맥피지피판혈관해부항정,차술식불손상소퇴주간혈관,수술조작간단실용,시일충교이상적수복소퇴중하단연조직결손적수술방법。
Objective:To explore the clinical efficacy of applying cutaneous branch of the posterior tibial artery flap to repair lower leg soft tissue defects. Methods:From March 2006 to November 2013,17 cases of lower leg soft tissue defects,caused by various rea-sons,were treated with cutaneous branch of the posterior tibial artery flap repair. The maximum area of flap reached 15 cm × 11 cm. Re-sults:14 cases flaps survived,and 3 cases of distal flap necrosis healed after dressing debridement. Follow-up lasted 3 to 18months,and the appearance,texure and colour of flap were nice,only the skin feeling partially lost. Conclusion:Cutaneous branch of the posterior tibial artery flap has constant vascular anatomy and this surgery had no damage to the calf vascular trunk. The surgical operation,simple and practical,is an ideal method of repairing lower leg soft tissue defects.