CAJ | 학술논문

目的观察游离上臂外侧穿支皮瓣修复手足部电烧伤创面的效果. 方法 2010年6月-2013年6月,笔者单位收治手足部Ⅲ度电烧伤患者6例,创面大小:6.0 cm ×4.0 cm ～8.5 cm×7.5 cm.采用游离上臂外侧穿支皮瓣修复创面,皮瓣面积为9 cm×4 cm～12 cm×9 cm.5例供区拉拢缝合,1例供区移植腹部全厚皮. 结果 1例中指受损患者术后因皮瓣静脉回流障碍坏死,经换药后取腹部全厚皮移植修复；其余5例皮瓣全部成活,皮瓣颜色和弹性与受区较匹配,臃肿不明显.随访6 ～ 24个月,手足部功能恢复尚可,5例患者手功能评定结果:优2例、良2例、差1例.供瓣区瘢痕较轻,无明显功能障碍,效果较佳. 结论游离上臂外侧穿支皮瓣血管蒂相对较长,脂肪组织较少,是修复手足部电烧伤小创面的较佳皮瓣.
목적 관찰유리상비외측천지피판수복수족부전소상창면적효과. 방법 2010년6월-2013년6월,필자단위수치수족부Ⅲ도전소상환자6례,창면대소:6.0 cm ×4.0 cm ～8.5 cm×7.5 cm.채용유리상비외측천지피판수복창면,피판면적위9 cm×4 cm～12 cm×9 cm.5례공구랍롱봉합,1례공구이식복부전후피. 결과 1례중지수손환자술후인피판정맥회류장애배사,경환약후취복부전후피이식수복；기여5례피판전부성활,피판안색화탄성여수구교필배,옹종불명현.수방6 ～ 24개월,수족부공능회복상가,5례환자수공능평정결과:우2례、량2례、차1례.공판구반흔교경,무명현공능장애,효과교가. 결론 유리상비외측천지피판혈관체상대교장,지방조직교소,시수복수족부전소상소창면적교가피판.
Objective To observe the effect of free lateral upper arm perforator flap in repairing wound on hand or foot due to electrical burn.Methods Six patients with full-thickness wounds on hand or foot resulting from electrical burn were hospitalized from June 2010 to June 2013.The wounds ranged from 6.0 cm × 4.0 cm to 8.5 cm × 7.5 cm in area.Free lateral upper arm perforator flaps were used to repair these defects,with flap area ranging from 9 cm × 4 cm to 12 cm × 9 cm.The donor sites in five cases were closed by suturing; the other one donor site was closed by transplantation of full-thickness skin from abdomen.Results One flap used to repair the wound in middle finger failed due to failure of venous return,and it was repaired with full-thickness skin harvested from abdomen after dressing change.The other five flaps survived resulting in good elasticity and matched appearance of the recipient area without obvious bulkiness.Patients were followed up for 6 to 24 months.The function of the injured hands or feet recovered well,and the results of function evaluation of five hands were excellent in 2 cases,good in 2 cases,and poor in 1 case.Little scar formation with no contraction or function impairment was observed on donor site,and the result was satisfactory.Conclusions Free lateral upper arm perforator flap,with long vessel and less adipose tissue,is suitable for repairing small but deep wound on hand or foot due to electrical burn.