以颈横动脉分支为蒂的锁骨上皮瓣和颈段皮支皮瓣的区别与联系

The differences and relations between subclavicular flap and supraclavicular flap pedicled by branches of transverse cervical artery

前胸是面颈部各类创面的理想供区，早在1988年第四军医大学西京医院整形外科即开始研究前胸部皮瓣，并首次开发命名了颈横动脉颈段皮支皮瓣。该皮瓣主要以锁骨上动脉的胸支为供血动脉，血供范围与胸三角皮瓣类似，用于修复各类面颈部创面。锁骨上皮瓣与之类似，也起自颈横动脉的分支锁骨上动脉，然而后者主要以锁骨上动脉的肩峰支为蒂，供血范围为锁骨上区。两者存在诸多相似和不同之处，且有一定争议，为进一步提高两皮瓣的认识，对两者的区别和联系进行综述。

The anterior chest is an excellent donor site for cervicofacial reconstruction. Studies of chest flaps began as early as 1988 in xijing Hspital. We created a new flap called the subclavicular flap, which was pedicled by the thoracic branch of supraclavicular artery. This flap shares the similar vascular territory of the deltopectoral flap and is mainly used for reconstruction of cervicofacial wounds. The supraclavicular flap has the same vessel origin of supraclavicular flap but is pedicled by the different branch, the deltoid branch. Its vascular territory locates on the shoulder region. Therefore, many differences and relations exist between the two flaps and there are also some disputes. To enhance the understanding of the two flaps, presenting a summary on the two flaps, especially for their relations and differences.