CAJ | 학술논문

目的：探究与分析逆行跗外侧动脉皮瓣修复前足皮肤软组织缺损的临床疗效观察。方法：回顾性分析本院2012年5月-2014年5月收治的15例前足皮肤软组织缺损患者的临床资料，观察该组患者行逆行跗外侧动脉皮瓣修复的手术方法及临床疗效情况。结果：本组患者共15例，于术后1周时间内有3例患者出现的皮缘部分坏死，占20.00%，经及时换药后，皮瓣得以成活，12例患者的皮瓣均顺利成活，未出现坏死情况，占80.00%。术后患者均获得为期7~22个月的随访，平均随访时间为14.5个月。在随访期间对患者的皮瓣成活情况进行观察，发现该组患者的皮瓣质地柔软，保持与周围组织一致的色泽，且未出现磨损，对正常生活质量未造成影响。结论：逆行跗外侧动脉皮瓣修复前足皮肤软组织缺损可取得显著效果，其优点在于皮瓣厚度适中，且抗磨损能力较强，血管解剖位置固定，管径粗大有利于充分供血，值得进一步研究与推广。
목적：탐구여분석역행부외측동맥피판수복전족피부연조직결손적림상료효관찰。방법：회고성분석본원2012년5월-2014년5월수치적15례전족피부연조직결손환자적림상자료，관찰해조환자행역행부외측동맥피판수복적수술방법급림상료효정황。결과：본조환자공15례，우술후1주시간내유3례환자출현적피연부분배사，점20.00%，경급시환약후，피판득이성활，12례환자적피판균순리성활，미출현배사정황，점80.00%。술후환자균획득위기7~22개월적수방，평균수방시간위14.5개월。재수방기간대환자적피판성활정황진행관찰，발현해조환자적피판질지유연，보지여주위조직일치적색택，차미출현마손，대정상생활질량미조성영향。결론：역행부외측동맥피판수복전족피부연조직결손가취득현저효과，기우점재우피판후도괄중，차항마손능력교강，혈관해부위치고정，관경조대유리우충분공혈，치득진일보연구여추엄。
Objective:To explore and analyze the clinical efficacy of the outer retrograde tarsal artery flap of skin and soft tissue defects of the foot.Method:Retrospectively to analyze the clinical data of forefoot skin and soft tissue defects with 15 cases treated in our hospital from May 2012 to May 2014,observe surgical method underwent lateral retrograde tarsal artery flap and explore clinical efficacy of the situation.Result:There were three cases in 15 patients with skin flap necrosis after one week of time,accounting for 20.00%.After timely medication,the flap survived.12 patients were successfully flap survival,without necrosis,accounting for 80.00%.Patients had received for a period of 7-22 months of follow-up,and average follow-up time was 14.5 months.During follow-up,the patients with flap survival conditions were observed and found that the group of patients were with soft flap to keep the color consistent with the surrounding tissue,and no signs of wear,with normal quality of life.Conclusion:Retrograde lateral tarsal artery flap of skin and soft tissue defects can be enough to achieve significant result.The advantage is that the flap thickness is moderate,with strong wear resistance and vascular anatomy fixed position,in favor of the full diameter thick blood.It is worthy of further study and promote.