重视穿支皮瓣在烧伤外科中的应用

Pay emphasis on the use of perforator flaps in burn surgery

穿支皮瓣是指仅以管径细小的皮肤穿支血管（穿动脉和穿静脉，穿过深筋膜后管径仍大于或等于0．5mm）供血的皮瓣，属轴型血管皮瓣范畴。穿支皮瓣的特征是以穿支血管为蒂，不论其来源为经肌肉或肌间隙（隔），切取皮瓣的血管蒂均不包含深部主要血管。虽然目前穿支皮瓣在我国烧伤外科已得到应用，但相关专题论文不多。

This article presents the anatomical basis, different kinds of perforator flaps and the distribution regularity of perforator vessels, principle of terminology, range of applica- tion, and their advantages and disadvantages. The procedure in harvesting and transplantation of perforator flaps are also dis- cussed, in order to promote clinical application of perforator flaps, and to provide a more efficacious way to reconstruct the deep burn wound.