CAJ | 학술논문

目的：观察股前外侧游离皮瓣修复足跟恶性黑色素瘤术后缺损的疗效。方法收集足底恶性黑色素瘤8例，均在术中行肿瘤切除送快速冰冻病理活检进一步确诊，缺损区采用股前外游离皮瓣修复。结果术后皮瓣均成活，术后1个月后恢复正常行走。半年后皮瓣感觉功能恢复良好，与健侧足底比较触觉、振动觉和温度觉均接近正常。所有患者均获随访，随访时间0．5～3年，8例患者均未出现局部复发、远位转移。结论采用股前外侧游离皮瓣修复足跟恶性黑色素瘤扩大切除术后剩余组织量较少的缺损，皮瓣能负重、耐磨，减少过冷过热损伤，且切除范围可以不受局部皮瓣的限制，临床疗效满意。
목적：관찰고전외측유리피판수복족근악성흑색소류술후결손적료효。방법수집족저악성흑색소류8례，균재술중행종류절제송쾌속빙동병리활검진일보학진，결손구채용고전외유리피판수복。결과술후피판균성활，술후1개월후회복정상행주。반년후피판감각공능회복량호，여건측족저비교촉각、진동각화온도각균접근정상。소유환자균획수방，수방시간0．5～3년，8례환자균미출현국부복발、원위전이。결론채용고전외측유리피판수복족근악성흑색소류확대절제술후잉여조직량교소적결손，피판능부중、내마，감소과랭과열손상，차절제범위가이불수국부피판적한제，림상료효만의。
Objective To observe the clinical effect of the anterolateral thigh flap in repairing defect caused by resection of malignant melanoma in the heel region.Methods 8 patients with heel malignant melanoma were trea-ted by surgery.The malignant melanoma was further diagnosed by histopathological examination.Their heel defects caused by large resection of malignant melanoma were treated by anterolateral thigh flap.Results All skin flaps sur-vived and all the patients could walk normally 1 month after operation.The recovery of the function and sense was well 6 months after operation.Compared with the another well heel,the flaps had normal texture,color and appearance of heel.8 patients had complete follow -up,ranged form 6 months to 3 years.All cases survived with neither local recur-rence nor distant metastasis.Conclusion The anterolateral thigh flap can achieve good clinical effect in treating heel defect caused by the resection of malignant melamoma.And especially apply in large skin and tissue defect of heel area.The flap can weight,wear -resisting and reduce overheating and over cold damage.The range of resection can not be restricted by local skin flap.The clinical effect is satisfied.