腹股沟皮瓣的研究进展  

Research progress of groin flap

作　　者：石恩献(综述) 顾立强[1] 徐达传(审阅)[2] SHI Enxian;GU Liqiang;XU Dachuan(Department of Microsurgery,Orthopedic Trauma and Hand Surgery,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;Department of Anatomy,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]中山大学附属第一医院显微创伤手外科,广州510080 [2]南方医科大学人体解剖学教研室,广州510515

出　　处：《中华显微外科杂志》2020年第5期519-520,I0004,I0005,共4页Chinese Journal of Microsurgery

摘　　要：在皮瓣外科发展过程中,腹股沟皮瓣是首先应用于修复软组织缺损的供区游离皮瓣,但由于其轴心血管解剖走行变异多且口径小、吻合难度大等,临床应用曾经一度受到限制。随着显微外科技术的不断提高以及患者对供区美观性需求的日益增强,腹股沟皮瓣因具有供区隐蔽、可切取面积大等优点,近十年来已广泛应用于四肢、颌面部及会阴部组织缺损修复。本文回顾腹股沟游离皮瓣的历史发展演变,总结腹股沟穿支皮瓣及其衍生皮瓣在四肢软组织缺损修复中的应用,以期促进腹股沟皮瓣的进一步应用及发展。In the development of flap surgery,the groin flap was one of the earliest flaps used in repair of soft tissue defect.However,due to its unstable anatomical position and many variations,small vessels and great difficulty in vascular anastomosis,the application of this flap reduced gradually.With the development of microsurgical techniques and the increasing demand of patients for aesthetics in donor site,the groin flap has been still widely used in the repair of soft tissue defect in limb maxillofacial region,and perineal partsin in recent 10 years,due to its advantages of concealed donor site and large area of flap.This article review the historical development of the groin flap,summarize the clinical application of perforator flap,and special types of groin flaps in repair of soft tissue defect in extremities.Hoping to further promote the application and development of groin flap in soft tissue repair.

关 键 词：腹股沟皮瓣 穿支皮瓣 修复 软组织缺损 历史发展 

分 类 号：R658.3[医药卫生—外科学]