CAJ | 학술논문

目的：探讨桡动脉穿支逆行皮瓣修复手及腕部创伤的临床疗效。方法对应用桡动脉穿支逆行皮瓣修复手及腕部创伤26例，根据缺损部位、大小及形状，6例以桡骨茎突上6 cm为轴点（位于肱桡肌腱外侧），8例以桡骨茎突上2 cm为轴点和桡动脉的体表投影线为轴心线，12例以鼻烟窝中点为轴点，桡骨茎突至桡骨小头的连线为轴心线，分别设计面积最大10 cm ×8 cm，最小4 cm ×3 cm的皮瓣。结果3例皮瓣远端浅表坏死，经换药后愈合，其余23例完全成活，随访6个月，手及腕部外形和功能良好。结论桡动脉穿支逆行皮瓣血供可靠，操作简单，不损伤主要血管，术后手及腕部外形和功能恢复良好，是一种较理想的修复方法。
목적：탐토뇨동맥천지역행피판수복수급완부창상적림상료효。방법대응용뇨동맥천지역행피판수복수급완부창상26례，근거결손부위、대소급형상，6례이뇨골경돌상6 cm위축점（위우굉뇨기건외측），8례이뇨골경돌상2 cm위축점화뇨동맥적체표투영선위축심선，12례이비연와중점위축점，뇨골경돌지뇨골소두적련선위축심선，분별설계면적최대10 cm ×8 cm，최소4 cm ×3 cm적피판。결과3례피판원단천표배사，경환약후유합，기여23례완전성활，수방6개월，수급완부외형화공능량호。결론뇨동맥천지역행피판혈공가고，조작간단，불손상주요혈관，술후수급완부외형화공능회복량호，시일충교이상적수복방법。
Objective To evaluate the clinical curative effect of radial artery perforator reverse flap was utilized to repair the defect in hand and wrist .Methods From June 2007 to June 2014, 26 patients with defect in hand and wrist were treated with radial artery perforator reverse flap .According to the site , size and shape of defect , 6 cm above the radial styloid process as pivot point in 6 cases, located laterally to the tendon brachioradialis .Pivot point of the flap at 2 cm above the radial styloid process in 8 cases with body surface projection of radial artery as axial line .Midpoint of nasopharyngeal fossa as pivot point in 12 cases with axial line from ra-dial styloid process to radial head .The biggest flap at 10 cm ×8 cm and the smallest flap at 4 cm ×3 cm were designed .Results 23 flaps completely survived, distal necrosis was seen in 3 flaps which healed by changing dressings .Followed up for 6 months, the func-tion and appearance of hand and wrist were satisfying .Conclusions The radial artery perforator reverse flap is an ideal method for re-pairing the defect in hand and wrist due to its reliable and convenient qualities , no damage to the main blood vessel and acquiring a sat-isfied recovery of appearance and function .