CAJ | 학술논문

目的：探讨游离双侧股前外侧皮瓣修复全手皮肤脱套伤的临床疗效。方法2012年1月—2013年3月，对5例全手皮肤脱套伤采用一期VSD（vacuum sealing drainage, VSD）覆盖，二期游离双侧股前外侧皮瓣瓦合修复，术后并进行随访。结果本组5例5手移植的皮瓣全部成活，经过二期分指并随访3～12个月，皮瓣质地柔软，外形饱满，色泽正常，未见明显色素沉着，感觉恢复S1级1例，S2级2例，S3级2例，术后经理疗和功能锻炼，各关节活动可，手部功能综合评价：优1例，良3例，可1例，优良率为80%。供区植皮全部成活，无瘢痕挛缩，无破溃，大腿功能无影响。结论双侧股前外侧皮瓣瓦合是修复全手皮肤脱套伤的一种理想方法。
목적：탐토유리쌍측고전외측피판수복전수피부탈투상적림상료효。방법2012년1월—2013년3월，대5례전수피부탈투상채용일기VSD（vacuum sealing drainage, VSD）복개，이기유리쌍측고전외측피판와합수복，술후병진행수방。결과본조5례5수이식적피판전부성활，경과이기분지병수방3～12개월，피판질지유연，외형포만，색택정상，미견명현색소침착，감각회복S1급1례，S2급2례，S3급2례，술후경리료화공능단련，각관절활동가，수부공능종합평개：우1례，량3례，가1례，우량솔위80%。공구식피전부성활，무반흔련축，무파궤，대퇴공능무영향。결론쌍측고전외측피판와합시수복전수피부탈투상적일충이상방법。
Objective To observe the treatment outcome that Conbined use bilateral free anterolateral thigh flap to repair degloving injury of the hand. Methods From January 2012 to March 2013, our department use a period of covering with VSD (Vacuum sealing drainage), Delayed repairing with bilateral free anterolateral thigh flap for degloving injury in 5 cases, with follow-up. Results The transplanted flaps survived completely. After 3-12months of follow-up, the flaps were Satisfactory wtith soft texture, plump shape, no obvious pigmentation and good feeling (1 S1,2 S2,2 S3). According to the functiongal evaluation criteria, The functional results were encouraging in all patients (1 excellent, 3 good, and 1 fair), with an excellent and good rate of 80%. The donor sites healed well without scarring, walking function was completely normal. Conclusion Conbined use of bilateral anterolateral thigh flap to repair degloving injury of the hand is an ideal method.