CAJ | 학술논문

目的探讨微血管吻合器在下肢组织缺损游离皮瓣修复中的应用价值. 方法对于2013年5月至2013年11月,采用微血管吻合器治疗的42例下肢缺损游离皮瓣修复病例,分析患者年龄、性别、缺损原因、缺损部位、皮瓣类型、吻合应用细节、并发症和皮瓣成活情况. 结果无患者发生动脉或静脉栓塞,血管通畅率为100％;皮瓣完全成活率为97.6％;术后并发症发生率为9.5％,包括1例部分坏死、1例植皮区部分坏死和2例血肿.无与微血管吻合器有关的术中和术后并发症. 结论微血管吻合器在下肢游离皮瓣修复中有良好的血管吻合效果,是下肢组织缺损显微外科修复时的理想选择.
목적 탐토미혈관문합기재하지조직결손유리피판수복중적응용개치. 방법 대우2013년5월지2013년11월,채용미혈관문합기치료적42례하지결손유리피판수복병례,분석환자년령、성별、결손원인、결손부위、피판류형、문합응용세절、병발증화피판성활정황. 결과 무환자발생동맥혹정맥전새,혈관통창솔위100％;피판완전성활솔위97.6％;술후병발증발생솔위9.5％,포괄1례부분배사、1례식피구부분배사화2례혈종.무여미혈관문합기유관적술중화술후병발증. 결론 미혈관문합기재하지유리피판수복중유량호적혈관문합효과,시하지조직결손현미외과수복시적이상선택.
Objective To evaluate the clinical value of microvascular anastomotic devices in the reconstruction of lower extremity defects by free flap transfer.Methods A retrospective review of 42 consecutive patients who underwent lower extremity microvascular reconstruction performed from May 2013 to November 2013 by microvascular anastomotic devices was performed.Patient charts were reviewed for age,sex,etiology of defect,location of defect,flap type,anastomotic technique,complications and flap survival.Results No patients had an arterial or venous anastomosis revised.The vascular anastomosis patency rates was 100％ and the flap survival rate was 97.6％.Total complication rate (9.5％) was due to 1 partial flap loss,1 partial skin graft loss and 2 hematoma.There were no intraoperative or perioperative complications involving the use of a microvascular anastomotic device itself.Conclusion Microvascular anastomotic devices have effective vessel anastomoses in lower extremity microvascular reconstruction.Thus,it presents an ideal tool for lower extremity microsurgical reconstruction.