CAJ | 학술논문

目的：探讨外踝上逆行穿支皮瓣修复前中足皮肤软组织缺损的临床疗效。方法采取回顾性方法对我院2008年1月至2013年10月间15例足背皮肤软组织缺损患者应用外踝上逆行穿支皮瓣修复的治疗效果进行分析。结果本组皮瓣13例全部成活，2例皮瓣部分边缘坏死，经换药后愈合。随访时间为6～19个月，平均随访时间（12．5±0．5）个月。术后未见有皮瓣和皮片磨损的情况发生，且外观比较满意，穿鞋也无影响。患者的临床治疗总有效率100％。结论临床中外踝上逆行穿支皮瓣修复足背皮肤软组织缺损效果显著，能够有效的提高患者的临床治疗效果，且避免二次手术，值得临床中应用与推广。
목적：탐토외과상역행천지피판수복전중족피부연조직결손적림상료효。방법채취회고성방법대아원2008년1월지2013년10월간15례족배피부연조직결손환자응용외과상역행천지피판수복적치료효과진행분석。결과본조피판13례전부성활，2례피판부분변연배사，경환약후유합。수방시간위6～19개월，평균수방시간（12．5±0．5）개월。술후미견유피판화피편마손적정황발생，차외관비교만의，천혜야무영향。환자적림상치료총유효솔100％。결론림상중외과상역행천지피판수복족배피부연조직결손효과현저，능구유효적제고환자적림상치료효과，차피면이차수술，치득림상중응용여추엄。
Objective To investigate the clinical effects of lateral supramalleolar antidromic per-forator flap on repairing skin and soft tissue defects of the forefoot and midfoot.Methods The therapeutic effects of lateral supramalleolar antidromic perforator flap were retrospectively analyzed in 15 patients with skin and soft tissue defects of the dorsal foot from January 2008 to December 2013.Results The flap sur-vived in 13 cases.Two cases had flap edge necrosis and healed after dressing change.The follow-up time ranged from 6 months to 19 months,with an average of(12.5 ±0.5 )months.No abrasions of flap or skin graft were observed.The appearance was satisfactory and it did not affect wearing shoes.The total effective rate was 100%.Conclusion In the treatment of skin and soft tissue defects of the dorsal foot,lateral su-pramalleolar antidromic perforator flap can effectively improve clinical efficiency and avoid reoperation, which is worthy of being spread in clinical practice.