CAJ | 학술논문

目的：探讨皮瓣移植修复足外伤组织缺损的临床效果。方法2007年l月至20l2年l2月共治疗足外伤皮肤软组织缺损l28例。根据足部软组织缺损情况，分别采用了跖背皮瓣（ l7例）、足底内侧皮瓣（8例）、足外侧皮瓣（9例）、腓骨皮瓣（l4例）、腓肠神经筋膜蒂皮瓣（l7例）、股前外侧皮瓣（45例）、胸脐皮瓣（l8例）进行修复治疗。结果 l28例皮瓣完全成活，随访时间最少2个月，最长l年以上，其中98例外形和功能恢复较满意，28例皮瓣轻度臃肿。结论根据软组织的不同缺损情况选用恰当的皮瓣修复足部外伤后软组织缺损，足部外形功能恢复较好。
목적：탐토피판이식수복족외상조직결손적림상효과。방법2007년l월지20l2년l2월공치료족외상피부연조직결손l28례。근거족부연조직결손정황，분별채용료척배피판（ l7례）、족저내측피판（8례）、족외측피판（9례）、비골피판（l4례）、비장신경근막체피판（l7례）、고전외측피판（45례）、흉제피판（l8례）진행수복치료。결과 l28례피판완전성활，수방시간최소2개월，최장l년이상，기중98예외형화공능회복교만의，28례피판경도옹종。결론근거연조직적불동결손정황선용흡당적피판수복족부외상후연조직결손，족부외형공능회복교호。
Objective To investiGate the clinical effect of skin flap transplantation to repair traumatic tissue defects. Methods One hundred and twenty-eiGht cases with skin and soft tissure defects of foot injury were treated from January 2007 to December 20l2. AccordinG to the situation of foot soft tissue defects,there were dorsal metatarsal artery island flap in l7 cases,the medial plantar flap in 8 cases,the flap of lateral foot in 9 cases,the fibula free flap in l4 cases,the sural neurovascular fascia cutaneous island flap in l7 cases,the anterolateral femoral flap in 45cases,and the chest-umbilicus flap in l8 cases. Results One hudred and twenty-eiGht cases of the flap survived completely,and follow-up visit time lasted from 2 month to l year and the satisfactory results of appearance and functions were achieved in 98 cases. Twenty-eiGht cases of flap were somewhat swellinG. Conclusion DependinG on the soft tissue defect in the situation to choose the appropriate skin flap to repair the foot soft tissue defect after trauma have many advantaGes,such as low infection rate,shorter lenGth of stay and the function and pedal contour were reserved maximally .