特殊形式穿支皮瓣及其衍生术式命名专家共识  

Expert consensus on the nomenclature of special perforator flap and its derivative

作　　者：唐举玉[1] 徐达传[2] 徐永清 汪华侨 朱庆棠 张世民 章一新 王欣 丁小珩 芮永军 赵广跃 徐雷 战杰 刘元波 陶凯 魏在荣 任高宏 谢振军[17] 谢松林[18] 郭峰[19] 李赞[20] 刘鸣江[21] 刘俊 吴攀峰[1] 俞芳[1] 卿黎明[1] 周征兵 张兴 尹路[25] 陶友伦[26] 郑晓菊 穆广态 唐茂林[29] 顾立强 刘小林 侯春林 TANG Juyu;XU Dachuan;XU Yongqin;WANG Huaqiao;ZHU Qingtan;ZHANG Shimin;ZHANG Yixin;WANG Xin;DING Xiaoheng;RUI Yongjun;ZHAO Guangyue;XU Lei;ZHAN Jie;LIU Yuanbo;TAO Kai;WEI Zairong;REN Gaohong;XIE Zhengjun;XIE Songlin;GUO Feng;LI Zan;LIU Mingjiang;LIU Jun;WU Panfeng;YU Fang;QING Liming;ZHOU Zhengbing;ZHANG Xing;YIN Lu;TAO Youlun;ZHENG Xiaoju;MU Guangtai;TANG Maolin;GU Liqiang;LIU Xiaolin;HOU Chunlin(Department of Orthopaedics,Hand and Microsurgery,Xiangya Hospital,Centred South University,Changsha 410008,China;Institute of Clinical A naiomy,Southern Medical University,Guangzhou 510515,China;Department of Orthopaedics,The 920 Hospital of PLA Joint Logistics Support Force,Kunming 650032,China;Editorial Board of Chinese Journal of Microsurgery,Guangzhou 510062,China;Department of Microsurgery,Orthopaedic Trauma and Hand Surgery,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;De partmerit of Orthopaedics,Yangpu Hospital Affiliaied to Tongji University,Shanghai 200292,China;Department of Plastic Surgery,The Ninth People 5 Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 200011,China;Department of Hand Surgery,Ningbo No.6 Hospital,Ningbo,Zhejiang Province 315040,China;The Hand Surgery Centre of CPLA,971st Hospital of the CPLA Navy,Qingdao,Shandong Province 266071,China;l0Wuxi Ninth People 5 Hospital,Wuxi,Jiangsu Province 214062,China;Xijing Hospital Affiliated to Air Force Military Medical University,Xi'an 710032,China;Department of Hand Surgery,Huas han Hospital,Fudan University,Shanghai 200000,China;Department of Hand Surgery,Centre Hospital Affiliated to Shenyang Medical College,Shenyang 110024,China;Department of Plastic Surgery,the Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Beijing 100144,China;Department of Plastic Surgery,General Hospital of Northern Theatre,Shenyang 110011,China;Department of Plastic Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi,Guizhou Province 563003,China;Department of Orthopaedics,Nanfang Hospital,S

机构地区：[1]中南大学湘雅医院骨科-手显微外科,长沙410008 [2]南方医科大学临床解剖研究所,广州510515 [3]解放军联勤保障部队第九二○医院骨科,昆明650032 [4]《中华显微外科杂志》编辑部,广州510062 [5]中山大学附属第一医院显微创伤手外科,广州510080 [6]同济大学附属杨浦医院骨科,上海200292 [7]上海交通大学医学院附属第九人民医院整复外科,上海200011 [8]宁波市第六医院手外科,浙江宁波315040 [9]海军第九七一医院手外科,山东青岛266071 [10]无锡市第九人民医院,江苏无锡214062 [11]空军军医大学附属西京医院,西安710032 [12]复旦大学华山医院手外科,上海200000 [13]沈阳医学院附属中心医院手外科,沈阳110024 [14]中国医学科学院整形外科医院整形外科,北京100144 [15]北部战区总医院整形外科,沈阳110011 [16]遵义医科大学附属医院整形外科,贵州遵义563003南方医科大学南方医院骨科,广州510515 [17]河南省人民医院手显微外科,郑州450003 [18]南华大学附属南华医院手外科,湖南衡阳421000 [19]中南大学湘雅医院口腔颌面外科,长沙410008 [20]湖南省肿瘤医院,长沙410013 [21]南华大学附属长沙市中心医院手显微外科,长沙410004 [22]郴州市第一人民医院骨科,湖南郴州423000 [23]上海交通大学附属第六人民医院修复重建外科,上海201306 [24]河南平顶山骨伤科医院,河南平顶山467021 [25]天津医院手显微外科,天津300231 [26]徐州市中心医院,江苏徐州221009 [27]西安凤城医院,西安710016 [28]武警宁夏总队医院,银川750000 [29]温州医科大学人体解剖学教研室,浙江温州325027 [30]海军军医大学长征医院骨科,上海200003

出　　处：《中华显微外科杂志》2022年第1期5-13,共9页Chinese Journal of Microsurgery

摘　　要：穿支皮瓣是在传统轴型皮瓣基础上发展而来,以穿支血管供血,仅包括皮肤与浅筋膜组织的一种新型皮瓣,由于改变了深筋膜血管网是皮瓣赖以生存的传统观点,使皮瓣设计和形成更具灵活性和多样性[1-3].2012年唐举玉[4]在国际上首次提出的特殊形式穿支皮瓣是应用传统穿支皮瓣的"微创与美学"理念、根据受区修复要求对皮瓣供区的一级源血管及其分支和相应供养的组织(皮肤、筋膜、肌肉、骨组织)进行优化设计、无创解剖、分割和重组,根据受区创面重建需要切取不同组织块(嵌合)或相同组织块(分叶),然后再削薄、组装、拼接成与受区创面内容、形状及血液循环重建要求相匹配的新型皮瓣.特殊形式穿支皮瓣是传统穿支皮瓣的衍生和发展,是穿支皮瓣的更高形式,丰富了穿支皮瓣的内涵,扩大了穿支皮瓣的适应证[5-13].Reconstructi on of complex soft tissue defects,especially those involved in the exposure of deep structures 1-3,are challenges to the surgeons.Several surgical protocols,including local cutaneous flaps,pedicled fasciocutaneous flaps,muscle flaps and free flaps,have been described in previous literatures for reconstruction of tissue defect.However,the application of traditional flap remains some disadvantages,including but not limited to bulking con・tour,donor site morbidity,etc.

关 键 词：浅筋膜 骨组织 修复要求 专家共识 

分 类 号：R622[医药卫生—整形外科]