CAJ | 학술논문

目的探讨应用腓肠神经营养血管皮下筋膜瓣修复足踝部软组织缺损的临床效果. 方法自2006年5月至2013年5月,应用腓肠神经营养血管皮下筋膜瓣修复足踝部软组织缺损19例,软组织缺损部位:内踝部3例,足背部16例,缺损面积3 cm×3 cm～7 cm×9cm.供区保留皮肤并直接缝合,受区筋膜瓣成活后行肉芽重塑、游离植皮. 结果随访3～18个月,组织瓣全部存活,植皮后筋膜较薄、平整,与周围组织几乎相平,供区仅留线性瘢痕,外观和功能恢复良好.足背外侧区域感觉减退至S3,筋膜瓣区域感觉恢复至S2.植皮区色素沉着. 结论采用腓肠神经营养血管筋膜皮下组织瓣可有效修复足踝部软组织缺损,并避免了供区凹凸不平、受区臃肿等缺点,可获得满意的外观及功能.
목적 탐토응용비장신경영양혈관피하근막판수복족과부연조직결손적림상효과. 방법 자2006년5월지2013년5월,응용비장신경영양혈관피하근막판수복족과부연조직결손19례,연조직결손부위:내과부3례,족배부16례,결손면적3 cm×3 cm～7 cm×9cm.공구보류피부병직접봉합,수구근막판성활후행육아중소、유리식피. 결과 수방3～18개월,조직판전부존활,식피후근막교박、평정,여주위조직궤호상평,공구부류선성반흔,외관화공능회복량호.족배외측구역감각감퇴지S3,근막판구역감각회복지S2.식피구색소침착. 결론 채용비장신경영양혈관근막피하조직판가유효수복족과부연조직결손,병피면료공구요철불평、수구옹종등결점,가획득만의적외관급공능.
Objective To investigate the clinical effect of repairing soft tissue defects of foot and ankle by sural neurovascular adipofascial flap.Methods Application of sural neurovascular adipofascial flap to repaire soft tissue defects of foot and ankle in 19 patients,inclouding 3 csaes with the soft tissue defects of medial malleolus and 16 cases of dorsum pedis from May,2006 to May,2013.The size of soft tissue defects was 3 cm ×3 cm-7 cm ×9 cm.The skin of the donor site was sutured directly.The recipient area was reshaped granulation and underwent free skin graft after the adipofascial flap survived.Results After followed up of 3-18 months,the adipofascial flaps were all survived,the recipient area was almost flat with the surrounding tissue,the donor area only leaving linear scar,the appearance and function of donor area and adopt area were satisfactory.The sensation of lateral dorsal region of foot decreased to S3,and the sensation of recipient site recovered to S2.There were some changes in pigmentation with the skin graft region.Conclusion Sural neurovascular adipofascial flap can be effectively repaired soft tissue defects of foot and ankle,and it can avoid irregularity of donor area and enlargement of adopt area,the appearance and function were satisfactory.