CAJ | 학술논문

目的：研究游离带指背神经环指尺侧指动脉皮瓣修复指腹缺损手术方法与带蒂皮瓣修整术的手术效果比较。方法：选择2013年8月-2014年8月来本院进行指腹缺损组织修复的患者32例，经患者同意，分为A组16例和B组16例。A组采用游离带指背神经环指尺侧指动脉皮瓣修复，B组采用同指体的指动脉皮瓣、指背筋膜皮瓣、临指皮瓣等方法进行修复。比较两组患者的植活率和满意度。结果：A组总有效率81.25%，B组总有效率68.75%。结论：游离带指背神经环指尺侧指动脉皮瓣修复指腹缺损更适合指腹组织缺损的修复。
목적：연구유리대지배신경배지척측지동맥피판수복지복결손수술방법여대체피판수정술적수술효과비교。방법：선택2013년8월-2014년8월래본원진행지복결손조직수복적환자32례，경환자동의，분위A조16례화B조16례。A조채용유리대지배신경배지척측지동맥피판수복，B조채용동지체적지동맥피판、지배근막피판、림지피판등방법진행수복。비교량조환자적식활솔화만의도。결과：A조총유효솔81.25%，B조총유효솔68.75%。결론：유리대지배신경배지척측지동맥피판수복지복결손경괄합지복조직결손적수복。
Objective:To research the difference in clinical effect between skin flap repair for pulp defect at the free dorsal nerve ring finger ulnar artery and pedicled skin flap repair.Method:32 patients who came to our hospital for repair of pulp defect from August 2013 to August 2014 were chosen with their approval.They were divided into group A and group B, 16 cases in each group.Patients in the group A were given skin flap repair for pulp defect at the free zone dorsal digital nerves of ulnar ring finger artery while, and those in the group B were repaired by digital artery flap, dorsal fascial flap, pro finger flap and so on.Engraftment rate and degree of satisfaction of the two groups were compared.Result:The total effective rate of the group A was 81.25%, while that of the group B was 68.75%.Conclusion:Skin flap repair for pulp defect at the free zone dorsal digital nerves of ulnar ring finger artery is more suitable for finger pulp tissue defect.