基于旋髂浅动脉穿支皮瓣超显微外科技术在肿瘤整形外科中的应用进展

Advances in the application of supermicrosurgery based on superficial circumflex iliac artery perforator flap in oncology plastic surgery

随着显微外科技术的不断进步,超显微外科得到了发展,将手术带入更加微观的层面。肿瘤患者的术后生活质量正成为重要的社会问题,而超显微外科作为一种侵入性较小且功能重建效果良好的肿瘤修复重建技术引起广泛关注。采用超显微外科技术能对直径为0.8 mm或更小的血管、淋巴管和神经进行解剖吻合,因此游离皮瓣可通过任意部位的无名血管进行血管化,进而用以修复缺损,实现真正意义上的微创重建。借助超显微外科技术进行淋巴重建,在肿瘤外科手术后淋巴疾病的预防和治疗中起重要作用。本文就旋髂浅动脉穿支皮瓣超显微外科技术的原理、应用以及其在肿瘤整形外科中的应用价值作一综述。

With the continuous progress of microsurgery technology,the development of supermicrosurgery has made the operation more microscopic.Postoperative quality of life for cancer patients is becoming a major social issue.And as a less invasive tumor repair and reconstruction technology,supermicrosurgery has better functional reconstruction and has attracted widespread attention.Supermicrosurgery can perform anastomosis on blood vessels,lymphatics,and nerves with a 0.8 mm or smaller diameter.Therefore,the free skin flap can use nameless blood vessels from any part of the flap to repair the defect with vascularized tissue and achieve minimally invasive reconstruction trully.Supermicrosurgery for lymphatic reconstruction play an important role in the prevention and treatment of lymphatic diseases after tumor surgery.This article reviews the principle and application of supermicrosurgery based on SCIP flap and its value in oncology plastic surgery.