CAJ | 학술논문

目的:总结逆静脉瓣供血、顺静脉瓣回流的动脉化静脉皮瓣在急诊中修复手指血管及软组织缺损的临床效果.方法:对手指血管及皮肤软组织缺损36例患者,均采用同侧前臂游离动脉化静脉皮瓣,形成逆静脉瓣供血、顺静脉瓣回流的动脉化静脉皮瓣修复创面.结果:36例皮瓣中34例完全成活,2例出现部分表皮坏死,脱痂后愈合.术后随访3个月~2年,平均12个月,按中华医学会手外科学会上肢功能评定标准,优15指,良21指.结论:逆静脉瓣供血、顺静脉瓣回流的动脉化静脉皮瓣是目前修复手指血管及软组织缺损的一种较理想的方法.
목적:총결역정맥판공혈、순정맥판회류적동맥화정맥피판재급진중수복수지혈관급연조직결손적림상효과.방법:대수지혈관급피부연조직결손36례환자,균채용동측전비유리동맥화정맥피판,형성역정맥판공혈、순정맥판회류적동맥화정맥피판수복창면.결과:36례피판중34례완전성활,2례출현부분표피배사,탈가후유합.술후수방3개월~2년,평균12개월,안중화의학회수외과학회상지공능평정표준,우15지,량21지.결론:역정맥판공혈、순정맥판회류적동맥화정맥피판시목전수복수지혈관급연조직결손적일충교이상적방법.
Objective To summarize the results of the free transplantation of anti-valve-inflow and pro-valve-outflow arterialized venous flap, which was used to repair vessel and soft tissue defect of fingers in emergency treatment. Methods Thirty-six cases of vessel and soft tissue defects of fingers were repaired with anti-valve-inflow and pro-valve-outflow arterialized venous flaps from the ipsilateral forearm. Results Thir?ty-four cases of arterialized venous flap survived completely and 2 cases had partial superficial necrosis healed with conservative management. Postoperative follow-up ranged from 3 months to 2 years(average 12 months). Showed 15 cases were graded as excellent and 21 as good. Conclusion It is an ideal method to repair vessel and soft tissue defect of fingers by using anti-valve-inflow and pro-valve-outflow arterialized venous flap.