CAJ | 학술논문

目的：观察游离足背复合组织瓣修复手背复合组织缺损的临床效果。方法2008年5月-2011年9月我院用带肌腱的游离足背复合组织瓣移植修复手部复合组织缺损16例，皮肤缺损面积6.5 cm×4.0 cm~10.0 cm×8.5 cm，切取皮瓣面积为8.5 cm×5.0 cm~11.5 cm×10.0 cm；趾长伸肌腱的切取长度7 cm~13 cm。按中华医学会手外科学会上肢功能评定标准评定疗效，随访6个月~2年。结果术后16例皮瓣均成活，优9例，良5例，可2例。结论游离足背复合组织瓣是一种有效修复手背复合组织缺损并重建伸指功能的手术方法。
목적：관찰유리족배복합조직판수복수배복합조직결손적림상효과。방법2008년5월-2011년9월아원용대기건적유리족배복합조직판이식수복수부복합조직결손16례，피부결손면적6.5 cm×4.0 cm~10.0 cm×8.5 cm，절취피판면적위8.5 cm×5.0 cm~11.5 cm×10.0 cm；지장신기건적절취장도7 cm~13 cm。안중화의학회수외과학회상지공능평정표준평정료효，수방6개월~2년。결과술후16례피판균성활，우9례，량5례，가2례。결론유리족배복합조직판시일충유효수복수배복합조직결손병중건신지공능적수술방법。
Objective Reported free dorsalis pedis composite tissue flap to repair hand composite tissue defects of clinical effect. Methods Review in May 2008 to September 2011, with tendon of free dorsalis pedis composite tissue flap transplantation to repair hand composite tissue defects in 16 cases, skin defect area of 6.5 cm x 4.0 cm~10.0 cm x 8.5 cm, cut the flap harvest area of 8.5 cm x 5.0 cm~11.5 cm x 10.0 cm. Toe long extensor tendon for 7 to 13 cm length. According to the Chinese medical association in to the upper extremity function evaluation standard to assess efficacy. Follow-up of 6 months to 2 years. Results 16 cases were transplanted tisssues survived after surgery. Excellent 9 cases, good in 5 cases, 2 cases. Conclusions Free dorsalis pedis composite tissue flap to repair hand composite tissue defects is an effective repair back of composite tissue defects and reconstruction refers to the function of surgical method.