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股前外侧穿支皮瓣在下肢重建中的应用。

The Superficial Circumflex Iliac Artery Perforator Flap in Lower Extremity Reconstruction.

机构信息

Department of Plastic Surgery, Asan Medical Center, University of Ulsan, 88 Olympicro 43 gil Songpagu, Seoul 05505, Korea.

出版信息

Clin Plast Surg. 2021 Apr;48(2):225-233. doi: 10.1016/j.cps.2020.12.005. Epub 2021 Jan 26.

DOI:10.1016/j.cps.2020.12.005
PMID:33674044
Abstract

The superficial circumflex iliac artery perforator flap is evolved from the groin flap, which was one of the early free flaps with a good concealed donor site. By further understanding the anatomy of perforators and elevating the flap based on it, this will provide added advantage of being a thin flap, harvesting as a composite flap, and help estimate the limit of skin paddle dimension. Despite these advantages, the relatively short pedicle still remains a challenge where long pedicle flaps are needed. One should select the flaps based on the recipient defect condition along with surgeons' experience, knowledge, and preference.

摘要

旋髂浅动脉穿支皮瓣源自股前外侧皮瓣,它是最早的游离皮瓣之一,供区隐蔽。通过进一步了解穿支血管的解剖结构,并在此基础上进行皮瓣的提升,可以获得更薄的皮瓣、复合组织瓣的切取,以及帮助估计皮瓣尺寸的极限。尽管有这些优势,但相对较短的蒂仍然是一个挑战,需要长蒂皮瓣。应该根据受区缺损情况以及外科医生的经验、知识和偏好来选择皮瓣。

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