CAJ | 학술논문

目的：探讨和分析尺动脉腕上皮支皮瓣游离移植修复手指皮肤缺损的临床效果。方法：2013年6月-2015年4月本院共接收了42例单手指皮肤缺损患者，对所有患者进行尺动脉腕上皮支皮瓣游离移植修复手术，均以尺动脉腕上皮支皮瓣的血管作为采用端。结果：42例单手指皮肤缺损患者中，22例皮瓣较为臃肿，20例皮瓣有部分破损，所有患者在护理人员换药后都顺利地愈合。游离移植手术后的0.5~1年的时间内进行随访，按照我国中华医学会外科手术对上肢部分功能评定试用标准进行评定：42例患者中，优30例，良10例，可2例，优良率95.2%。结论：在医学临床中，对于尺动脉腕上皮支皮瓣游离手术，其解剖的位置比较固定，切取的难度也较小，患者术后皮瓣恢复情况比较理想，术后并发症的发病率较低，是一种比较理想的修复手指皮肤缺损的方法，值得在临床中大力推广。
목적：탐토화분석척동맥완상피지피판유리이식수복수지피부결손적림상효과。방법：2013년6월-2015년4월본원공접수료42례단수지피부결손환자，대소유환자진행척동맥완상피지피판유리이식수복수술，균이척동맥완상피지피판적혈관작위채용단。결과：42례단수지피부결손환자중，22례피판교위옹종，20례피판유부분파손，소유환자재호리인원환약후도순리지유합。유리이식수술후적0.5~1년적시간내진행수방，안조아국중화의학회외과수술대상지부분공능평정시용표준진행평정：42례환자중，우30례，량10례，가2례，우량솔95.2%。결론：재의학림상중，대우척동맥완상피지피판유리수술，기해부적위치비교고정，절취적난도야교소，환자술후피판회복정황비교이상，술후병발증적발병솔교저，시일충비교이상적수복수지피부결손적방법，치득재림상중대력추엄。
Objective:To investigate and analyze the ulnar artery skin flap graft repair finger skin defects clinical effect.Method: 42 patients with a single finger skin defects in our hospital were selected from June 2013 to April 2015, all patients were performed ulnar artery skin flap graft reconstructive surgery with ulnar artery skin flap vessels as using end.Result:In 42 patients with a single finger skin defect, 22 patients flap were bloated,20 patients’ flap occurred part of defect, all patients with the nursing dressing were well healed. Performing graft surgery within six months to a year follow-up,according to Chinese medicine surgery on upper part function evaluation standard assessment trial:In 42 patients,30 cases of excellent, 10 cases of good,the good rate of 95.2%.Conclusion:In the clinic, the ulnar artery free skin flap surgery, the anatomic location is fixed, the difficulty of cut is small, postoperative recovery flap is relatively small, relatively low incidence of postoperative complications,it is an ideal way to repair finger skin defects and worth in clinical vigorously promoted.