CAJ | 학술논문

目的探讨利用双侧股前外侧皮瓣联合胸脐皮瓣或背阔肌肌皮瓣一期修复双足皮肤脱套伤的临床效果.方法 2005年6月至2011年8月共利用双侧股前外侧皮瓣联合胸脐皮瓣或背阔肌肌皮瓣一期修复双足皮肤脱套伤4例.其中切取带股前外侧皮神经的股前外侧皮瓣修复足底,胸脐皮瓣或背阔肌肌皮瓣修复足背.结果 4例双足脱套伤均一期修复,皮瓣存活,术后功能外形良好,随访6个月至2年,足底感觉恢复良好,两点辨距觉为14～18 mm,行走正常.结论利用双侧股前外侧皮瓣联合胸脐皮瓣或背阔肌肌皮瓣一期修复双足皮肤脱套伤,是一种较好的修复方法.
목적 탐토이용쌍측고전외측피판연합흉제피판혹배활기기피판일기수복쌍족피부탈투상적림상효과.방법 2005년6월지2011년8월공이용쌍측고전외측피판연합흉제피판혹배활기기피판일기수복쌍족피부탈투상4례.기중절취대고전외측피신경적고전외측피판수복족저,흉제피판혹배활기기피판수복족배.결과 4례쌍족탈투상균일기수복,피판존활,술후공능외형량호,수방6개월지2년,족저감각회복량호,량점변거각위14～18 mm,행주정상.결론 이용쌍측고전외측피판연합흉제피판혹배활기기피판일기수복쌍족피부탈투상,시일충교호적수복방법.
Objective To investigate the therapeutic effect of primary reconstruction of skin avulsion injury with bilateral anterolateral thigh flaps combined with thorax umbilicus flap or latissimus dorsi flap.Methods From June 2005 to Aug.2011,4 cases with skin avulsion injury on both feet were treated.The bilateral anterolateral thigh flaps,including with anterolateral thigh cutaneous nerves,were transferred to cover the feet plantar.The thorax umbilicus flap or latissimus dorsi flap were used to cover the feet dorsum.Results All the skin avulsion injury were reconstructed primarily.All the flaps survived completely with good cosmetic and functional results.The patients were followed up for 6 months to 2 years with good sensory recovery(two point discrimination:14-18 mm).Conclusion The skin avulsion injury on both feet can be primarily reconstructed by bilateral anterolateral thigh flaps combined with thorax umbilicus flap or latissimus dorsi flap.