CAJ | 학술논문

目的：探讨应用骨间背动脉皮瓣修复手部软组织缺损的临床效果。方法应用骨间背动脉皮瓣修复20例手部软组织缺损患者。创面缺损面积：1．5 cm ×2 cm~5 cm ×11 cm,皮瓣切取面积：2．5 cm ×3 cm~6 cm ×12 cm,其中游离皮瓣5例,局部转移皮瓣15例。结果20例皮瓣全部成活,手术时间1．5~3 h。所有患者均获随访,时间6~36个月。患肢外观及功能均满意。结论骨间背动脉皮瓣切取简便,血运可靠,不损伤主干血管,对供区损伤小,可带蒂转移,亦可吻合移植,是修复手指软组织缺损较理想皮瓣。
목적：탐토응용골간배동맥피판수복수부연조직결손적림상효과。방법응용골간배동맥피판수복20례수부연조직결손환자。창면결손면적：1．5 cm ×2 cm~5 cm ×11 cm,피판절취면적：2．5 cm ×3 cm~6 cm ×12 cm,기중유리피판5례,국부전이피판15례。결과20례피판전부성활,수술시간1．5~3 h。소유환자균획수방,시간6~36개월。환지외관급공능균만의。결론골간배동맥피판절취간편,혈운가고,불손상주간혈관,대공구손상소,가대체전이,역가문합이식,시수복수지연조직결손교이상피판。
Objective To explore the effect of interosseous dorsal artery flap in repair of hand soft tissue defect. Methods Interosseous dorsal artery flap was used to repair hand soft tissue defect in 20 patients, the defect area was 1. 5cm × 2cm~5cm × 11cm, flaps area was 2. 5 cm × 3 cm~6 cm × 12 cm, including free flap 5 cases, rotational flap 15 cases. Results All 20 flaps survived, the operation time was 1. 5~3h. All patients had been followed up for 6~36 months, limb appearance and function were satisfactory. Conclusions Interosseous dorsal artery flap is easy to harvest, which provide reliable blood supply, without main blood vessel injury, little damage to the donor area. It can be pedicle transfer, can also be consistent with transplantation. It is the ideal skin flap repair of finger soft tissue defect.