Hallock G G
Division of Plastic Surgery, Allentown Hospital, Pa.
Plast Reconstr Surg. 1991 Aug;88(2):264-8. doi: 10.1097/00006534-199108000-00015.
A resurgence of interest in the fasciocutaneous flap has been predicated on its simplicity, availability, and versatility. Its dependability in addition is documented in this analysis of complications accrued in 100 consecutive local applications. Major complications that required further surgical intervention occurred in 15 percent of patients, with an additional 11 percent of patients suffering other minor untoward events. Lower extremity wounds, particularly with concomitant peripheral vascular insufficiency, had a disproportionate share of complications. Early coverage of the acute wound ensured minimal problems, avoiding the enhanced risk of a contaminated wound. No difference in efficacy was apparent upon comparison of the various subtypes of these fasciocutaneous flaps. Not only did the fasciocutaneous flap provide salvage following failure of more conventional techniques, but it has even been proven in the proper circumstances to be a reliable initial alternative to free-flap or muscle-flap transpositions.
对筋膜皮瓣兴趣的再度兴起基于其操作简单、取材方便及用途广泛。在对连续100例局部应用中出现的并发症进行的分析中，也证明了其可靠性。15%的患者发生了需要进一步手术干预的主要并发症，另有11%的患者出现了其他轻微不良事件。下肢伤口，尤其是伴有周围血管功能不全的伤口，并发症的比例过高。早期覆盖急性伤口可确保问题最少，避免污染伤口风险增加。比较这些筋膜皮瓣的各种亚型时，未发现疗效有明显差异。筋膜皮瓣不仅在更传统技术失败后提供挽救机会，而且在适当情况下甚至已被证明是游离皮瓣或肌皮瓣转移可靠的初始替代方案。
