CAJ | 학술논문

目的探讨骨间背侧动脉岛状皮瓣修复手部软组织缺损的临床效果. 方法选择2009-2012年10例手部软组织缺损患者,其中男8例,女2例;年龄15 ～ 74岁.致伤原因:机械损伤4例,电击伤3例,慢性溃疡2例,热压伤1例.皮肤软组织缺损面积为3.0 cm×2.5 cm～12.0 cm ×7.0 cm,皮瓣切取面积为4.0cm×3.0 cm～13.0cm×8.0 cm.利用便携式多普勒超声仪,探测前臂骨间背侧动脉发出的皮支,以骨间背侧动脉远端为血管蒂的逆行岛状皮瓣修复手部软组织缺损.观察皮瓣颜色、质地、感觉、供瓣区瘢痕情况. 结果 9例岛状皮瓣全部存活,1例皮瓣边缘部分坏死,换药后愈合.2例失访,8例获得3个月～1年随访,皮瓣色泽、感觉与邻近皮肤相近,质地柔软,感觉良好,供瓣区瘢痕增生不明显,其中1例皮瓣稍显臃肿. 结论应用骨间背侧动脉岛状皮瓣修复手部软组织缺损安全有效.
목적 탐토골간배측동맥도상피판수복수부연조직결손적림상효과. 방법 선택2009-2012년10례수부연조직결손환자,기중남8례,녀2례;년령15 ～ 74세.치상원인:궤계손상4례,전격상3례,만성궤양2례,열압상1례.피부연조직결손면적위3.0 cm×2.5 cm～12.0 cm ×7.0 cm,피판절취면적위4.0cm×3.0 cm～13.0cm×8.0 cm.이용편휴식다보륵초성의,탐측전비골간배측동맥발출적피지,이골간배측동맥원단위혈관체적역행도상피판수복수부연조직결손.관찰피판안색、질지、감각、공판구반흔정황. 결과 9례도상피판전부존활,1례피판변연부분배사,환약후유합.2례실방,8례획득3개월～1년수방,피판색택、감각여린근피부상근,질지유연,감각량호,공판구반흔증생불명현,기중1례피판초현옹종. 결론 응용골간배측동맥도상피판수복수부연조직결손안전유효.
Objective To evaluate the clinical effect of dorsal interosseous artery island flap to cover soft tissue defects of the hand.Methods Ten cases (8 males and 2 females) treated between 2009 and 2012 were included.The age was from 15 to 74 years.There were 4 patients associated with mechanical injury,3 electric injury,2 chronic ulcer and 1 hot crush injury.Size of the defect ranged from 3.0 cm × 2.5 cm to 12.0 cm × 7.0 cm,and the size of the flap ranged from 4.0 cm× 3.0 cm to 13.0 cm × 8.0 cm.The portable Doppler ultrasound was employed to locate the branches from the forearm dorsal interosseous artery.The dorsal interosseous retrograde artery distally based was used to repair hand softtissue defects.Results All the flaps survived except for some necrosis in one case which healed after dressing change.Eight patients were followed up for 3 months to 1 year and two patients were lost to follow-up.Flap had soft texture and similar color and sensation as the adjacent skin.No apparent hypertrophic scarfing on the donor site was observed.Flap was slighdy swollen in one case.Conclusion Dorsal interosseous artery retrograde island flap is safe and effective to repair hand soft tissue defects.