Asko-Seljavaara S, Lähteenmäki T, Waris T, Sundell B
Division of Plastic Surgery, Töölö Hospital, Helsinki University Central Hospital, Finland.
Br J Plast Surg. 1987 Nov;40(6):620-8. doi: 10.1016/0007-1226(87)90158-5.
This review of 41 latissimus dorsi and 7 rectus abdominis free flaps describes the advantages and disadvantages of these two donor tissues. Flap survival was over 95%. Rectus abdominis carries the greatest area of skin of all the free flaps and makes salvaging of extremities with massive soft tissue loss possible, and it also provides the most elegant small free muscle flap. The latissimus dorsi is suitable for nearly any defect of the body except the foot and the hand because of bulkiness of the tissue and poor development of sensation, and the face because of poor colour match.
这篇对41例背阔肌游离皮瓣和7例腹直肌游离皮瓣的综述描述了这两种供区组织的优缺点。皮瓣存活率超过95%。腹直肌游离皮瓣是所有游离皮瓣中携带皮肤面积最大的，使得挽救伴有大面积软组织缺损的肢体成为可能，并且它还提供了最为美观的小型游离肌皮瓣。背阔肌游离皮瓣由于组织较厚、感觉发育不良，除足部和手部外几乎适用于身体的任何缺损部位；由于颜色匹配不佳，不适用于面部。
