CAJ | 학술논문

目的：探讨并联股前外侧盖美拉组合皮瓣在修复手部复合型组织缺损的临床应用，分析相关并发症的出现原因以及处理对策。方法针对临床已治疗病例，搜集有关该术式治疗前后疗效对比数据，分析总结治疗效果，并进行探讨性分析总结。结果本研究纳入治疗的19例病例中，皮肤软组织创面皆获得良好的修复，皮瓣成活率100%，其中旋股前动脉降支并联支配的阔筋膜及部分髂胫束修复手背部肌腱组织缺损，术后手部背伸功能皆得到了一定的恢复。结论深入地了解和掌握旋股前动脉降支的生理走行及相关变异，有助于切取组合型皮瓣组织以应对由于高能量或热压致伤所导致的手部软组织复杂性缺损，该术式取得了良好的临床疗效，为手外伤的治疗提供了新思路，但其不足之处仍有待进一步探讨。
목적：탐토병련고전외측개미랍조합피판재수복수부복합형조직결손적림상응용，분석상관병발증적출현원인이급처리대책。방법침대림상이치료병례，수집유관해술식치료전후료효대비수거，분석총결치료효과，병진행탐토성분석총결。결과본연구납입치료적19례병례중，피부연조직창면개획득량호적수복，피판성활솔100%，기중선고전동맥강지병련지배적활근막급부분가경속수복수배부기건조직결손，술후수부배신공능개득도료일정적회복。결론심입지료해화장악선고전동맥강지적생리주행급상관변이，유조우절취조합형피판조직이응대유우고능량혹열압치상소도치적수부연조직복잡성결손，해술식취득료량호적림상료효，위수외상적치료제공료신사로，단기불족지처잉유대진일보탐토。
Objective To investigate the clinical application of parallel anterolateral thigh chimera flap in repair-ment of hand composite tissue defects,and analyze the causes and countermeasures of related complications. Methods For the patients who had clinical treatment,the comparative data of the surgical treatment effects before and after the opera-tion were collected,and the effects were analyzed. Results Among the 19 cases in this study,the skin and soft tissue wounds all got good repairment,the flap survival rate was 100%,where femoral artery descending branch in parallel and some disposable fascia lata hand back iliotibial tendon tissue defect repair postoperative dorsiflexion of hand functions were been some recovery. Conclusions Depth understanding and knowledge of femoral artery descending branch of physiology course and related variants,helps cut the flap tissue in response to a combination of high energy or heat injury as a result of the complexity of hand soft tissue defect,the surgery style and achieved good clinical efficacy for the treatment of hand inju-ries choose to provide a new idea,but its shortcomings remain to be further explored.