CAJ | 학술논문

目的：探讨应用胸背动脉外侧支供血的改良背阔肌肌皮瓣移植修复软组织缺损创面的临床效果。方法对7例软组织缺损的患者采用胸背动脉外侧支供血改良背阔肌肌皮瓣进行移植修复。利用胸背血管的外侧支供血带少许肌袖,皮瓣解剖时保留胸背神经的主干及内侧支,皮瓣面积15.0 cm×8.0 cm~22.0 cm×12.0 cm。结果7例皮瓣完全成活,1例胫前软组织缺损的患者术后2 h 出现血管危象,经探查重新吻合静脉,创口Ⅰ期愈合。背部供区植皮创面4例Ⅰ期愈合,3例边缘部分皮片坏死,经换药治愈。对所有患者随访3~12个月,皮瓣外形与功能均较满意。结论利用胸背动脉外侧支供血改良背阔肌肌皮瓣移植修复软组织缺损是较为理想的方法,临床上值得推广应用。
목적：탐토응용흉배동맥외측지공혈적개량배활기기피판이식수복연조직결손창면적림상효과。방법대7례연조직결손적환자채용흉배동맥외측지공혈개량배활기기피판진행이식수복。이용흉배혈관적외측지공혈대소허기수,피판해부시보류흉배신경적주간급내측지,피판면적15.0 cm×8.0 cm~22.0 cm×12.0 cm。결과7례피판완전성활,1례경전연조직결손적환자술후2 h 출현혈관위상,경탐사중신문합정맥,창구Ⅰ기유합。배부공구식피창면4례Ⅰ기유합,3례변연부분피편배사,경환약치유。대소유환자수방3~12개월,피판외형여공능균교만의。결론이용흉배동맥외측지공혈개량배활기기피판이식수복연조직결손시교위이상적방법,림상상치득추엄응용。
Objective To explore the anatomy basis and clinical effect of the latissimus dorsi musculo-cutaneous flap with a few muscle.Methods Based on anatomical study,the latissimus dorsi musculocuta-neous flap with a few muscle was designed and transferred to reconstruct 1 cases of the calcar pedis′s soft tissue defect,2 cases of the dorsum pedis′s soft tissue defect,2 cases of the anticnemion′s soft tissue de-fect,1 case of the whole scalp avulsion injury with large skull exposure.Among these flaps,7 flaps were designed to perforator flap with a few muscle,1 flap was reserving partly thoracodorsal nerve.The flap area ranged from 1 5.0 cm×8.0 cm to 22.0 cm×12.0 cm.Results 7 flaps survived completely,follow-up was performed for 3 to 12 months,the appearance and color of the flaps were satisfaction.Conclusion This kind of the flap has reliable blood supply and could be operated conveniently and safely.It is an ideal method to repair the larger limbs soft-tissue defect.