CAJ | 학술논문

目的：观察髂腹股沟皮瓣修复治疗手部外伤组织缺损的临床效果。方法选择2010－03～2013－12该院收治的20例手部外伤组织缺损患者为研究对象，均给予髂腹股沟皮瓣修复治疗，观察临床治疗效果。结果20例患者经髂腹股沟皮瓣修复后皮瓣全部成活，术后随访6个月，18例患者对修复外形及正常功能恢复效果满意，2例患者皮瓣稍有臃肿而接受二次去脂修整手术，术后基本满意。结论对于手外伤严重伴有组织缺损而创面不能接受植皮的患者，选择腹部带蒂髂腹股沟皮瓣修复治疗可以取得良好的效果，而且供区隐蔽，在设计上可不限制长宽比例，手术操作方便，对患者创伤也在可控制范围内，值得推广应用。
목적：관찰가복고구피판수복치료수부외상조직결손적림상효과。방법선택2010－03～2013－12해원수치적20례수부외상조직결손환자위연구대상，균급여가복고구피판수복치료，관찰림상치료효과。결과20례환자경가복고구피판수복후피판전부성활，술후수방6개월，18례환자대수복외형급정상공능회복효과만의，2례환자피판초유옹종이접수이차거지수정수술，술후기본만의。결론대우수외상엄중반유조직결손이창면불능접수식피적환자，선택복부대체가복고구피판수복치료가이취득량호적효과，이차공구은폐，재설계상가불한제장관비례，수술조작방편，대환자창상야재가공제범위내，치득추엄응용。
Objective To investigate the clinical effect of groin flap repair for the treatment of traumatic tis-sue defect of hands.Methods Twenty patients with hand tissue defects in our hospital from March 2010 to December 2013 were collected as the research objects.Results Twenty cases survived, with a follow-up of 6 months.18 cases felt satisfactory to the recovery of the repairment and function and other 2 cases received fat free dressing operation for shin flap slightly.Conclusion Patients with severe hand injury and tissue defects who are not suitable for shin graft-ing operation can accept, the repair operation of abdominal pedicled groin flap.The operation is convenient and effec-tive with hidden donor site and unlimited width and length of graft.