穿支皮瓣的历史、演变和给予我们的启示

Perforator flap： history, evolution, and inspiration

自1989年Koshima首次报道穿支皮瓣以来,穿支皮瓣转移已经成为缺损修复和器官再造最常用的手段之一.该文简要回顾了穿支皮瓣的历史,首次尝试将穿支皮瓣的发展分成三个阶段.第一阶段（1989年至2000年）：概念提出和发展,为数不多的专家学者执着于穿支皮瓣研究,进行了大量开拓性工作;第二阶段（2000年至2010年）：全面普及,穿支皮瓣的概念被广泛接受;第三阶段（2010年至今）：推广应用、回顾反思,穿支皮瓣技术在更多的医学专业得到推广使用,学者们对穿支皮瓣的应用经验进行回顾和反思.详细介绍了与穿支皮瓣有关的根特共识的内容;对历史上关于穿支皮瓣的定义、分类、有关术语和已有的穿支皮瓣命名方法进行了回顾.对一些重要的穿支皮瓣进行了扼要介绍.对世界范围内促进穿支皮瓣传播的重要人物和事件进行了简要介绍.通过30年来穿支皮瓣发展、演变和完善的历史,思考其给予我们的启示.

Since the first description by Koshima in 1989,perforator flaps have become one of the most commonly used tools for soft tissue defects and organ reconstruction.The three period history of perforator flaps was briefly reviewed.In the first period（from 1989-2000）,pioneers persisted in studying perforator flaps and did outstanding work to define and develop the new technique.In the second period （from 2000-2010）,the idea of perforator flaps is widely accepted.Moreover,in the third period （from 2010-present）,the application of perforator flaps was extended to new medical fields,and reconstruction surgeons began reporting their clinical experiences.As an important historical event,the ＂Gent＂ consensus on perforator flaps terminology was introduced in detail.The existing definition,classification,terminology,and nomenclature of perforator flaps were reviewed.Some of the most frequently used perforator flaps are briefly described.Surgeons that popularized the use of perforator flaps were reviewed as well as the inspiration drawn from the 30 year fascinating historical evolution of perforator flaps.