CAJ | 학술논문

目的探讨腓肠内侧动脉分叶皮瓣修复手、足软组织缺损的临床效果.方法 2012年3月至2014年9月,以腓肠内侧动脉为主干,第1、2肌皮穿支构成分叶皮瓣移植修复手、足部软组织缺损6例,皮瓣面积4.5 cm×10.0 cm～6.0 cm×17.0 cm.结果 5例腓肠内侧动脉分叶皮瓣顺利成活,1例分叶皮瓣因皮瓣下产生积血,出现静脉危象,经血管探查、清除积血后危象解除,皮瓣成活.术后随访4～12个月,平均7个月,皮瓣外观和功能恢复良好,分叶皮瓣平均两点辨距觉为6 mm;3例皮瓣供区遗留线性瘢痕,3例遗留植皮瘢痕,肢体活动不受影响.结论腓肠内侧动脉分叶皮瓣游离移植修复手、足软组织缺损,方法可靠,效果较好.
목적 탐토비장내측동맥분협피판수복수、족연조직결손적림상효과.방법 2012년3월지2014년9월,이비장내측동맥위주간,제1、2기피천지구성분협피판이식수복수、족부연조직결손6례,피판면적4.5 cm×10.0 cm～6.0 cm×17.0 cm.결과 5례비장내측동맥분협피판순리성활,1례분협피판인피판하산생적혈,출현정맥위상,경혈관탐사、청제적혈후위상해제,피판성활.술후수방4～12개월,평균7개월,피판외관화공능회복량호,분협피판평균량점변거각위6 mm;3례피판공구유류선성반흔,3례유류식피반흔,지체활동불수영향.결론 비장내측동맥분협피판유리이식수복수、족연조직결손,방법가고,효과교호.
Objective To explore the clinical effect of the lobulated medial sural artery perforator flap in repairing soft tissue defect in hand or foot.Methods Since March 2012 to September 2014, 6 cases with soft tissue defects in hands or feet were treated by lobulated medial sural artery flaps pedicled with 1st musculo-cutaneous perforator and 2st musculo-cutaneous perforator of the medial sural artery.The size of the flaps ranged from 4.5 cm × 10.0 cm to 6.0 cm × 17.0 cm.Results 5 cases of lobulated flap survived smoothly, only 1 lobulated flap had venous articulo, but this flap also survived after the articulo was removed by vascular exploration.All flaps had desirable appearance and sensation and the two-point discrimination was 6 mm in mean with 4 to 12 months follow-up(average, 7 months).Linear scar was left in donor sites in 3 cases and skin scar in 3 cases.There was no malfunction in donor sites.Conclusions Lobulated medial sural artery perforator flap is feasible and ideal method for the treatment of soft tissue defect in hand or foot with satisfactory effect.