摘要
穿支皮瓣是在传统轴型皮瓣基础上发展而来,以穿支血管供血,仅包括皮肤与浅筋膜组织的一种新型皮瓣,由于改变了深筋膜血管网是皮瓣赖以生存的传统观点,使皮瓣设计和形成更具灵活性和多样性[1-3].2012年唐举玉[4]在国际上首次提出的特殊形式穿支皮瓣是应用传统穿支皮瓣的"微创与美学"理念、根据受区修复要求对皮瓣供区的一级源血管及其分支和相应供养的组织(皮肤、筋膜、肌肉、骨组织)进行优化设计、无创解剖、分割和重组,根据受区创面重建需要切取不同组织块(嵌合)或相同组织块(分叶),然后再削薄、组装、拼接成与受区创面内容、形状及血液循环重建要求相匹配的新型皮瓣.特殊形式穿支皮瓣是传统穿支皮瓣的衍生和发展,是穿支皮瓣的更高形式,丰富了穿支皮瓣的内涵,扩大了穿支皮瓣的适应证[5-13].
Reconstructi on of complex soft tissue defects,especially those involved in the exposure of deep structures 1-3,are challenges to the surgeons.Several surgical protocols,including local cutaneous flaps,pedicled fasciocutaneous flaps,muscle flaps and free flaps,have been described in previous literatures for reconstruction of tissue defect.However,the application of traditional flap remains some disadvantages,including but not limited to bulking con・tour,donor site morbidity,etc.
作者
唐举玉
徐达传
徐永清
汪华侨
朱庆棠
张世民
章一新
王欣
丁小珩
芮永军
赵广跃
徐雷
战杰
刘元波
陶凯
魏在荣
任高宏
谢振军
谢松林
郭峰
李赞
刘鸣江
刘俊
吴攀峰
俞芳
卿黎明
周征兵
张兴
尹路
陶友伦
郑晓菊
穆广态
唐茂林
顾立强
刘小林
侯春林
TANG Juyu;XU Dachuan;XU Yongqin;WANG Huaqiao;ZHU Qingtan;ZHANG Shimin;ZHANG Yixin;WANG Xin;DING Xiaoheng;RUI Yongjun;ZHAO Guangyue;XU Lei;ZHAN Jie;LIU Yuanbo;TAO Kai;WEI Zairong;REN Gaohong;XIE Zhengjun;XIE Songlin;GUO Feng;LI Zan;LIU Mingjiang;LIU Jun;WU Panfeng;YU Fang;QING Liming;ZHOU Zhengbing;ZHANG Xing;YIN Lu;TAO Youlun;ZHENG Xiaoju;MU Guangtai;TANG Maolin;GU Liqiang;LIU Xiaolin;HOU Chunlin(Department of Orthopaedics,Hand and Microsurgery,Xiangya Hospital,Centred South University,Changsha 410008,China;Institute of Clinical A naiomy,Southern Medical University,Guangzhou 510515,China;Department of Orthopaedics,The 920 Hospital of PLA Joint Logistics Support Force,Kunming 650032,China;Editorial Board of Chinese Journal of Microsurgery,Guangzhou 510062,China;Department of Microsurgery,Orthopaedic Trauma and Hand Surgery,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;De partmerit of Orthopaedics,Yangpu Hospital Affiliaied to Tongji University,Shanghai 200292,China;Department of Plastic Surgery,The Ninth People 5 Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 200011,China;Department of Hand Surgery,Ningbo No.6 Hospital,Ningbo,Zhejiang Province 315040,China;The Hand Surgery Centre of CPLA,971st Hospital of the CPLA Navy,Qingdao,Shandong Province 266071,China;l0Wuxi Ninth People 5 Hospital,Wuxi,Jiangsu Province 214062,China;Xijing Hospital Affiliated to Air Force Military Medical University,Xi'an 710032,China;Department of Hand Surgery,Huas han Hospital,Fudan University,Shanghai 200000,China;Department of Hand Surgery,Centre Hospital Affiliated to Shenyang Medical College,Shenyang 110024,China;Department of Plastic Surgery,the Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Beijing 100144,China;Department of Plastic Surgery,General Hospital of Northern Theatre,Shenyang 110011,China;Department of Plastic Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi,Guizhou Province 563003,China;Department of Orthopaedics,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Department of Hand Microsurgery,Henan Provincial People s Hospital,Zhengzhou 450003,China;Department of Hand Surgery,Affiliated Nanhua Hospital of University of South China,Hengyang,Hunan Province 421000,China;Department of Oral and Maxillofacial Surgery,Xiangya Hospital,Central South University,Changsha 410008,China;Hunan Cancer Hospital,Changsha 410013,China;Department of Hand Microsurgery,Changsha Central Hospital Affiliated to University of South China,Changsha 410004,China;Department of Orthopaedics,Chenzhou First People's Hospital,Chenzhou,Hunan Province 423000,China;Department of Repair and Reconstruction Surgery,the Sixth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai 201306,China;Pingdingshan Zhanhe Orthopeadics Hospital,Pingdingshan,Henan Province 467021,China;Department of Hand Microsurgery,Tianjin Hospital,Tianjin 300231,China;Xuzhou Central Hospital,Xuzhou,Jiangsu Province 221009,China;Xi'an Fengcheng Hospital,Xi'an 710016,China;Ningxia People's Armed Police Corps Hospital,Yinchuan 750000,China;Department of Human A natomy,Wenzhou Medical University,Wenzhou,Zhejiang Province 325027,China;Department of Orthopaedics,Shanghai Changzheng Hospital,Naval Military Medical University,Shanghai 200003,China)
出处
《中华显微外科杂志》
CSCD
北大核心
2022年第1期5-13,共9页
Chinese Journal of Microsurgery
