CAJ | 학술논문

目的探讨足部复合组织移植后供区的修复方法,以最大限度地减少足部供区的并发症. 方法对2003年9月至2012年6月收治的59例足部复合组织移植术后留有创面患者的临床资料进行回顾性研究,男41例,女18例；年龄9～57岁,平均34.6岁.采用皮瓣转位或移植等方法进行创面覆盖修复,其中腓肠神经营养血管皮瓣逆行转位修复22例,隐神经营养血管皮瓣逆行转位修复13例,外踝上皮瓣修复12例,第2跖背皮瓣修复9例,腹股沟皮瓣游离移植修复3例. 结果足部供区遗留创面移植皮瓣全部成活.所有患者术后随访6 ～ 24个月,平均12个月.供区移植皮瓣色泽正常,质地良好,无瘢痕、疼痛及溃破等情况发生. 结论重视足部复合组织移植术后供区的处理,精细修复前足横弓及韧带组织,应用皮神经营养血管皮瓣、邻近带蒂皮瓣转位或游离皮瓣移植等方法覆盖供区创面,可减少或避免供区并发症的发生.
목적 탐토족부복합조직이식후공구적수복방법,이최대한도지감소족부공구적병발증. 방법 대2003년9월지2012년6월수치적59례족부복합조직이식술후류유창면환자적림상자료진행회고성연구,남41례,녀18례；년령9～57세,평균34.6세.채용피판전위혹이식등방법진행창면복개수복,기중비장신경영양혈관피판역행전위수복22례,은신경영양혈관피판역행전위수복13례,외과상피판수복12례,제2척배피판수복9례,복고구피판유리이식수복3례. 결과 족부공구유류창면이식피판전부성활.소유환자술후수방6 ～ 24개월,평균12개월.공구이식피판색택정상,질지량호,무반흔、동통급궤파등정황발생. 결론 중시족부복합조직이식술후공구적처리,정세수복전족횡궁급인대조직,응용피신경영양혈관피판、린근대체피판전위혹유리피판이식등방법복개공구창면,가감소혹피면공구병발증적발생.
Objective To explore the method of repairing the donor sites at the foot after composite tissue transplantation.Methods From September 2003 through June 2012,We repaired 59 cases of donor site defects at the foot with flap transposition or transplantation.They were 41 men and 18 women,aged from 9 to 57 years (average,34.6 years).Of them,22 were repaired by retrograde transposition of the sural neurovascular flap,13 by retrograde transposition of the saphenous neurovascular flap,12 by transplantation of lateral supramalleolar flap,9 by transplantation of the second dorsal metatarsal flap and 3 by free transplantation of groin flap.Results The flaps at the donor site all survived perfectly.The patients were followed up for 6 to 24 months (average,12 months).The donor site flaps obtained normal color and good texture,with no scar,pain or ulceration.Conclusions After composite tissue transplantation at the foot,we should attach special attention to the repair of front foot transverse arch and ligament tissue.Transplantation or transposition of neurocutaneous vascular flaps,pedicled flaps or free flaps can well repair the donor site defects at the foot.