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作 者:罗高杰(综述) 唐举玉[1] 卿黎明(审阅)[1] LUO Gaojie;TANG Juyu;QING Liming(Department of Hand and Microsurgery,Xiangya Hospital of Central South University,Changsha 410008,China)
出 处:《中华显微外科杂志》2022年第3期346-351,共6页Chinese Journal of Microsurgery
基 金:国家自然科学基金(81871577);国家自然科学基金青年基金(81901978)。
摘 要:选择对机体损伤最小的皮瓣供区,使得受区获得最佳的外形和最大的功能恢复,是整形修复重建手术需遵守的基本原则之一。穿支皮瓣因符合该理念而被广泛的应用于修复和重建领域。分叶穿支皮瓣是穿支皮瓣的一种特殊形式,可通过巧妙的设计,化宽度为长度,可使皮瓣供区直接闭合;且只需要损伤一个供区,吻合一组血管,减少了机体的损伤,缩短了手术时间。该种皮瓣成为临床修复宽大不规则创面的应用热点。分叶穿支皮瓣进一步丰富了穿支皮瓣的内涵,扩大了穿支皮瓣的适应证。本文系统的回顾了分叶穿支皮瓣的历史发展演变,总结了分叶穿支皮瓣近年来的临床应用进展,旨在进一步促进分叶穿支皮瓣在复杂创面修复中的临床应用与推广。The main principles for plastic and reconstructive surgery is to choose the flap donor site with the least damage to the body,so that the recipient site can obtain the best appearance and maximum functional recovery.Perforator flaps are widely used in the field of repair and reconstruction because they conform to this concept.The polyfoliate perforator flap is a special form of the perforator flap.Through the ingenious design,the width can be changed to the length,so that the donor site of the flap can be directly closed;and only one donor site needs to be damaged and a group of blood vessels are anastomosed.It reduces the damage to the body and shorten the operation time.This kind of flap has become a hot spot in clinical repair of large and irregular wounds.The segmented perforator flap further enriches the connotation of the perforator flap and expand the indications of the perforator flap.This article systematically reviews the historical development and evolution of the polyfoliate perforator flap,summarises the clinical application progress of the polyfoliate perforator flap in recent years,and aims to further promote the application and development of the polyfoliate perforator flap in the repair of complex wounds.
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