CAJ | 학술논문

目的探讨应用膝上外侧穿支为蒂的V-Y皮瓣修复股前外侧皮瓣供区的疗效及适应证.方法 2011年6月至2012年6月,对9例患者应用股前外侧皮瓣修复手、足创面的同时,采用以膝上外侧穿支为蒂的V-Y皮瓣修复股前外侧皮瓣供区,皮瓣与股前外侧皮瓣遗留创面等宽,而V-Y皮瓣供区直接拉拢缝合.结果术后9例股前外侧皮瓣全部成活,5例于术后6～8个月行皮瓣削薄术.术后随访5 ～18个月,平均8个月,皮瓣外观、质地、色泽及弹性良好.膝上外侧穿支皮瓣8例完全成活,1例皮瓣近端尖角发生部分坏死,经换药后愈合,伤口愈合时间平均为17 d.大腿伤口愈合较平整,无明显凹陷,大腿股四头肌肌力正常,膝关节活动正常.结论该术式操作简单,术后疗效满意,是对传统股前外侧皮瓣供区修复方法的改进.
목적 탐토응용슬상외측천지위체적V-Y피판수복고전외측피판공구적료효급괄응증.방법 2011년6월지2012년6월,대9례환자응용고전외측피판수복수、족창면적동시,채용이슬상외측천지위체적V-Y피판수복고전외측피판공구,피판여고전외측피판유류창면등관,이V-Y피판공구직접랍롱봉합.결과 술후9례고전외측피판전부성활,5례우술후6～8개월행피판삭박술.술후수방5 ～18개월,평균8개월,피판외관、질지、색택급탄성량호.슬상외측천지피판8례완전성활,1례피판근단첨각발생부분배사,경환약후유합,상구유합시간평균위17 d.대퇴상구유합교평정,무명현요함,대퇴고사두기기력정상,슬관절활동정상.결론 해술식조작간단,술후료효만의,시대전통고전외측피판공구수복방법적개진.
Objective To investigate the clinical application of V-Y flap pedicled with the lateral superior genicular perforator for donor site defect after harvesting anterolateral thigh flap.Methods From June 2011 to June 2012,9 cases with defects at hands and feet were treated with anterolateral thigh flaps.The defects left at the donor sites were consequently reconstructed with V-Y flap pedicled with the lateral superior genicular perforator.The defects left by V-Y flap were closed directly.Results All the 9 anterolateral thigh flap survived completely.5 flaps underwent thinning surgery 6-8 months after operation.The flaps had a good appearance,texture,color and elasticity.The 8 perforator flaps survived completely with partial necrosis in 1 flap at the proximal end.The average healing time was 17 days.There was no obvious depression at donor sites with normal function.Conclusions The method is easily performed with optional therapeutic effect.It is a modified improvement for the anterolateral thigh flap.