CAJ | 학술논문

目的探讨游离股前外侧穿支皮瓣修复烧伤瘢痕癌术后皮肤软组织缺损的临床效果.方法 2005年6月至2013年2月,收治10例头面部、四肢等部位烧伤后瘢痕癌,对瘢痕癌行根治性扩大切除,遗留的皮肤软组织缺损应用股前外侧穿支皮瓣游离移植修复.对术后效果和供区恢复情况进行评价.结果 10例患者术后皮瓣全部一期成活,皮瓣色泽红润、有弹性,毛细血管充盈度较好,针刺后皮瓣有出血,皮瓣存活良好,未见明显皮瓣下积脓、坏死,未见明显动静脉裸露形成的血肿、皮瓣移动甚至脱落等现象.平均手术时间为7h,术后未见明显肌肉坏死等严重并发症.术后随访5个月至2年,平均1年,皮瓣外观及形态良好,未见瘢痕癌肿复发,恢复满意,其中有6例皮瓣上可见体毛生长.供区无功能障碍,左右侧大腿活动无明显受限,活动自如,皮肤愈合良好.结论游离股前外侧穿支皮瓣可以很好地修复烧伤后瘢痕癌切除术后皮肤软组织缺损.
목적 탐토유리고전외측천지피판수복소상반흔암술후피부연조직결손적림상효과.방법 2005년6월지2013년2월,수치10례두면부、사지등부위소상후반흔암,대반흔암행근치성확대절제,유류적피부연조직결손응용고전외측천지피판유리이식수복.대술후효과화공구회복정황진행평개.결과 10례환자술후피판전부일기성활,피판색택홍윤、유탄성,모세혈관충영도교호,침자후피판유출혈,피판존활량호,미견명현피판하적농、배사,미견명현동정맥라로형성적혈종、피판이동심지탈락등현상.평균수술시간위7h,술후미견명현기육배사등엄중병발증.술후수방5개월지2년,평균1년,피판외관급형태량호,미견반흔암종복발,회복만의,기중유6례피판상가견체모생장.공구무공능장애,좌우측대퇴활동무명현수한,활동자여,피부유합량호.결론 유리고전외측천지피판가이흔호지수복소상후반흔암절제술후피부연조직결손.
Objective To discuss the therapeutic effect of free anterolateral thigh flap for the treatment of burn scar carcinoma.Methods From Jun.2005 to Feb.2013,10 cases with burn scar carcinoma at craniofacial area and extremities underwent radical excision and transposition of free anterolateral thigh flaps for the leaving wounds.Results The flaps in 10 cases survived completely and primarily without any complications.The operation time was 7 hours in average.The patients were followed up for 5 months to 2 years(1 year,in average) without no recurrence and no functional morbidity in donor sites.The cosmetic results were satisfactory in all the cases,even with hair growth in 6 cases.Conclusion The free anterolateral thigh flap is suitable for the treatment of burn scar carcinoma.