Bénateau H, Laraba C, Alix T, Compère J F
Service de Stomatologie et Chirurgie Maxillo-Faciale, CHU Côte de Nacre, 14033 Caen.
Rev Stomatol Chir Maxillofac. 2002 Feb;103(1):35-40.
The Chinese or radial forearm flap, first described by Yang et al. (1981), is useful both as a free or a pedicle flap. This flap has proved to be one of the safest and most versatile flap in widely differing clinical situations. It is generally classified as a fasciocutaneous flap, but can also be used together with a segment of radius as a composite flap. However, the most common objection to this flap is the donor-site morbidity. The donor defect is significant, with a poor graft take over the exposed tendons. Inclusion of bone in the flap leads to a greater contour defect and to a risk of fracture. Many suggestions are given to minimize the complications on the donor-site defect. The surgical technique, the advantages, the disadvantages, and at least the indications of this flap are detailed.
中国或前臂桡侧皮瓣最早由杨等人（1981年）描述，作为游离皮瓣或带蒂皮瓣均有用处。事实证明，在广泛不同的临床情况下，这种皮瓣是最安全、用途最广泛的皮瓣之一。它通常被归类为筋膜皮瓣，但也可与一段桡骨一起用作复合皮瓣。然而，对这种皮瓣最常见的异议是供区并发症。供区缺损明显，移植到暴露肌腱上的皮片成活率低。皮瓣中包含骨骼会导致更大的外形缺损和骨折风险。人们提出了许多建议以尽量减少供区缺损的并发症。本文详细介绍了这种皮瓣的手术技术、优点、缺点以及至少其适应证。
