CAJ | 학술논문

目的探讨应用腓浅动脉穿支皮瓣游离移植修复手部创面的临床效果.方法 2008年3月至2012年3月,应用腓浅动脉穿支皮瓣游离移植修复手部创面共9例,其中手掌侧创面4例,虎口区创面1例,手指侧方创面1例,手背创面3例;缺损面积为3.0 cm×4.5 cm～ 5.0 cm×10.0 cm.其中4例与受区桡动脉头静脉吻合,4例与指总动脉浅静脉吻合,1例与尺动脉贵要静脉吻合.5例供区直接缝合,4例供区创面植皮修复.结果本组9例皮瓣全部存活,未出现血管危象.术后随访3～ 12个月,原缺损部位外形及功能恢复满意,供区外形功能无明显影响.结论应用腓浅动脉穿支皮瓣游离移植修复手部创面,临床效果满意,值得推广应用.
목적 탐토응용비천동맥천지피판유리이식수복수부창면적림상효과.방법 2008년3월지2012년3월,응용비천동맥천지피판유리이식수복수부창면공9례,기중수장측창면4례,호구구창면1례,수지측방창면1례,수배창면3례;결손면적위3.0 cm×4.5 cm～ 5.0 cm×10.0 cm.기중4례여수구뇨동맥두정맥문합,4례여지총동맥천정맥문합,1례여척동맥귀요정맥문합.5례공구직접봉합,4례공구창면식피수복.결과 본조9례피판전부존활,미출현혈관위상.술후수방3～ 12개월,원결손부위외형급공능회복만의,공구외형공능무명현영향.결론 응용비천동맥천지피판유리이식수복수부창면,림상효과만의,치득추엄응용.
Objective To investigate the clinical outcomes of repairing wound in the hand with free superficial peroneal artery perforator flap transplantation.Methods From March 2008 to March 2012,9 cases of wound in the hand were treated with free superficial peroneal artery perforator flap transplantation.There were 4 cases of volar defects,1 case of first web space wound,1 case of lateral finger defect and 3 cases of dorsal defects.The size of the wounds ranged from 3.0 cm× 4.5 cm to 5.0 cm × 10.0 cm.The perforator flap vascular pedicle was anastomosed to the radial artery and cephalic vein of the recipient area in 4 cases,to the proper digital artery and superficial vein in 4 cases,and to the ulnar artery and basilic vein in 1 case.The donor site was closed directly in 5 cases and covered with skin graft in 4 cases.Results All of the 9 flaps survived completely.No vascular crisis occurred.Postoperative follow-up ranged from 3 to 12 months.The appearance and function of the repaired sites were satisfactory.Conclusion Free superficial peroneal artery perforator flap transfer for coverage of wound in the hand can lead to satisfactory clinical results.It is an effective method that is worth wide clinical application.