CAJ | 학술논문

目的：探讨岛状股前外侧穿支皮瓣修复会阴部软组织缺损的临床疗效。方法2009年至2013年，共收治8例会阴部缺损患者，创面预处理后，以岛状股前外侧穿支皮瓣带蒂转移修复创面，皮瓣面积7.0 cm×10.0 cm~13 cm×21 cm。供区直接拉拢缝合或取对侧股部断层皮片移植修复。结果8例患者术后皮瓣均完全成活，皮瓣质地柔软，无继发瘢痕挛缩。随访6～24个月，肿瘤无复发，供区愈合良好，无下肢活动障碍。结论应用岛状股前外侧皮瓣修复会阴区缺损，效果良好，值得临床推广。
목적：탐토도상고전외측천지피판수복회음부연조직결손적림상료효。방법2009년지2013년，공수치8례회음부결손환자，창면예처리후，이도상고전외측천지피판대체전이수복창면，피판면적7.0 cm×10.0 cm~13 cm×21 cm。공구직접랍롱봉합혹취대측고부단층피편이식수복。결과8례환자술후피판균완전성활，피판질지유연，무계발반흔련축。수방6～24개월，종류무복발，공구유합량호，무하지활동장애。결론응용도상고전외측피판수복회음구결손，효과량호，치득림상추엄。
Objective To explore the clinical effects of pedicle anterolateral thigh perforator flap for repairing soft tissue defects of perinescrotal. Methods From 2009 to 2013, the soft tissue defects of perinescrotal in 8 cases were pre-treated and then repaired with pedicle anterolateral thigh perforator flap. The flap size varied from 7.0 cm ×10.0 cm to 13.0 cm×21.0 cm. The secondary defect of donor site was directly sutured or repaired by split-skin grafts on opposite side. Results All of the 8 flaps survived successfully. The flaps were soft with no secondary scar contracture. All the patients were followed up for 6 months to 2 years. There were no recurrence of tumors in 2 years. The donor sites were well healed and no movement disorder of lower limb was observed. Conclusion It is an ideal election for repairing perineal defection by using pedicle anterolateral thigh perforator flap, and is worthy of clinical promotion.