CAJ | 학술논문

目的探讨利用旋股外侧动脉向皮瓣、筋膜或肌肉发出的穿支,形成以同一上级母体血管为蒂的不同的组织瓣,嵌合移植修复四肢创伤中的复杂组织缺损的可行性. 方法从2010年1月至2012年3月,利用旋股外侧动脉向肌肉、筋膜及皮肤发出穿支,制成2～3个不同种类的组织瓣嵌合移植,对四肢环形组织缺损4例、多个创面3例、手足套状撕脱伤6例及GustiloⅢC型损伤9例进行修复.结果 22例中移植组织19例全部成活.有3例皮瓣远端出现约1.0～2.0 cm坏死；1例肢体远端坏死；无感染及骨髓炎发生.经6个月～2年的随访18例,皮瓣外形饱满,筋膜或肌肉植皮区皮肤有滑动、有弹性且无回缩,颜色无改变. 结论旋股外侧动脉穿支嵌合皮瓣移植是修复四肢复杂创面较为实用有效的方法.
목적 탐토이용선고외측동맥향피판、근막혹기육발출적천지,형성이동일상급모체혈관위체적불동적조직판,감합이식수복사지창상중적복잡조직결손적가행성. 방법 종2010년1월지2012년3월,이용선고외측동맥향기육、근막급피부발출천지,제성2～3개불동충류적조직판감합이식,대사지배형조직결손4례、다개창면3례、수족투상시탈상6례급GustiloⅢC형손상9례진행수복.결과 22례중이식조직19례전부성활.유3례피판원단출현약1.0～2.0 cm배사；1례지체원단배사；무감염급골수염발생.경6개월～2년적수방18례,피판외형포만,근막혹기육식피구피부유활동、유탄성차무회축,안색무개변. 결론 선고외측동맥천지감합피판이식시수복사지복잡창면교위실용유효적방법.
Objective To evaluate the feasibility and clinical efficacy of lateral femoral circumflex artery perforator flaps and fit together in the treatment of limbs complex wound surface.Methods From January 2010 to March 2012,use the characteristics that the descending branch of lateral femoral circumflex artery extend its branches over the flap,fascia and skin,to form lenticulostriate arteries,which contain 2 to 3 different species tissues fits together,flaps cover the important tissues such as vessel,nerves and bones.Fascia covers the tendinous tissues etc.Muscle can not only cover the tissues,but also fill in the space,and followed by skin grafting.This research was to perform the treatment for 4 cases of lacking limbs ring tissue,three cases of multiple wound surface,six cases of hand avulsion injury of skin and 9 cases of Gustilo grade-Ⅲ C.Results As for the 22 cases in the research,nineteen cases of flaps survived,the other 3 cases were necrosis with length of 1cm to 2 cm at distal and self-healed later.During 6 months to 2 years followed-up of 18 cases,external flaps were satisfactory,skin grafting over the fascia layers develops very well,smooth with great elasticity,no recoil,and no color change.Conclusion Lateral femoral circumflex artery is one of effective restoration methods for limbs with complex wound surface.