穿支皮瓣简述

Brief introduction of perforator flap

公元前600年印度医师Sushruta切取第1块带蒂直接皮动脉穿支皮瓣——滑车上动脉穿支皮瓣,1973年Daniel和Taylor报道了第1块游离穿支皮瓣——旋髂浅动脉供血的腹股沟皮瓣,1982年钟世镇院士报道了肌间隔(隙)穿支皮瓣,1989年Koshima报道了肌皮穿支皮瓣。整个皮瓣外科的发展历史以穿支皮瓣发展为主线,未来,传统随意皮瓣(网状供血皮瓣)和传统轴型皮瓣的临床应用将越来越少,而穿支皮瓣,特别是直接皮穿支皮瓣和特殊类型穿支皮瓣的临床应用将越来越广泛。

In 600 BC,the first pedicled direct cutaneous artery perforator flap-the supravicular artery perforator flap was harvested by Sushruta.In 1973,the first free perforator flap-the superficial circumflex iliac artery flap in the groin was reported by Daniel and Taylor.In 1982,the septocutaneous perforator flap was reported by academician Zhong Shizhen.In 1989,the misculocutaneous perforator flap was reported by Koshima.Reviewing the history of flap surgery,there was a fact that the main evolutionary line was the course of perforator flap.In the future,the clinical application of the traditional random flap(reticulated blood supply flap)and traditional axial flap will be more and more less,whereas the clinical application of perforator flap,especially the direct cutaneous perforator flap and the special type of perforator flap will be more and more extensive.