腓肠内侧动脉穿支皮瓣的临床应用研究进展
[Research progress of clinical application of medial sural artery perforator flap].
作者信息
Fang Jie, Chen Buguo, Wu Yao, Tang Zhaolin, Ren Fei, Zhang Wenlong
机构信息
Department of Hand Surgery, Clinical Anatomy Laboratory, Xuzhou Ren Ci Hospital, Xuzhou Jiangsu, 221000, P.R.China.
Department of Hand and Foot Surgery, Tianjin Union Medical Center, Tianjin, 300121, P.R.China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Apr 15;35(4):508-513. doi: 10.7507/1002-1892.202011032.
OBJECTIVE
To review the research progress of the clinical application of the medial sural artery perforator flap (MSAPF).
METHODS
The relevant domestic and abroad literature on the clinical application of MSAPF was extensively consulted, and the research progress were summarized and analyzed in aspect of its definition, anatomical characteristics, clinical application, surgical resection and improvement, and advantages and disadvantages of flaps, etc.
RESULTS
MSAPF has the advantages of relatively constant anatomical position, thin flap texture, long vascular pedicle, large vessel diameter, no sacrifice of main blood vessels, concealed donor site, no hair, and fewer complications; it can carry nerves, tendons, and muscles to construct chimeric flaps to repair three-dimensional wounds; and can also repair wounds with high aesthetic and functional requirements such as hand, foot and ankle, head and neck, etc.
CONCLUSION
The MSAPF is a versatile, various forms, functional diversification, and three-dimensional flap donor site with various application forms and ideal repair effectiveness.
目的
回顾腓肠内侧动脉穿支皮瓣（MSAPF）临床应用的研究进展。
方法
广泛查阅国内外关于MSAPF临床应用的相关文献，从其定义、解剖学特点、临床应用、手术切取及改进、皮瓣优缺点等方面进行总结分析。
结果
MSAPF具有解剖位置相对恒定、皮瓣质地薄、血管蒂长、血管口径大、不牺牲主要血管、供区隐蔽、无毛发生、并发症少等优点；能携带神经、肌腱、肌肉构建嵌合皮瓣修复三维创面；还可修复手、足踝、头颈部等高美观及功能要求的创面。
结论
MSAPF是一种用途广泛、形式多样、功能多元化、具有多种应用形式且修复效果理想的三维皮瓣供区。
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