灌流皮瓣研究新进展

灌流皮瓣对软组织重建的重要性已经得到共识,其优点在于能够一次完成血管和软组织缺损的综合重建,尤其适用于缺血坏死的肢端和肿瘤切除后遗留缺陷的修复。本文对灌流皮瓣进行系统回顾,根据流入道和流出道血管的特点对其进行了分类,并对这些皮瓣进行生理学方面的讨论。通过总结各种类型的灌流皮瓣,为临床选择皮瓣类型提供参考指南。

The Advance of Flow-through Flaps Study

Flaps have long been recognized as an essential tool for soft-tissue reconstruction.The principle advantage of this flap is to provide the opportunity for a single stage composite reconstruction of both soft tissue and vascular defects, making it particularly useful in the reconstruction of ischemic extremities and defects from oncologic ablations.This article provides an organized review of flowthrough flaps and classifies these flaps based on their inflow, outflow, and the nature of their vascular conditions. Additionally, we have included a discussion on the physiology of these flaps, reviewed the current literature and summarized the various types of flow-through flaps in a reference guide that can aid in flap selection.