股前外侧皮瓣穿支解剖学特征与定位方法的专家共识（2024版）

doi:10.13418/j.issn.1001-165x.2024.5.01

中国临床解剖学杂志 ›› 2024, Vol. 42 ›› Issue (5): 489-499.doi: 10.13418/j.issn.1001-165x.2024.5.01

• 专家共识 • 下一篇

股前外侧皮瓣穿支解剖学特征与定位方法的专家共识（2024版）

徐永清¹，唐举玉²，　刘元波³，　周征兵⁴，　蒋灿华⁵，　张兴⁶，　张世民⁷，　芮永军⁸，
杨晓东⁹，　巨积辉¹⁰，　孙向东¹¹，　丁小珩¹²，　周小兵¹³，　魏在荣¹⁴，　杜青晏³，
臧梦青³，　俞芳²，　刘族安¹⁵，　杨曦¹，　魏鹏¹⁶，　宋达疆¹⁷，　李赞¹⁷，　战杰¹⁸，
聂开瑜¹⁴，　郭峰⁵，　吴攀峰²，　王欣¹⁹，　崔怀瑞²⁰，　谢松林²¹，　刘俊²²，
刘亦杨²³，　李士民²⁴，　范新宇¹，　何晓清¹，　王腾¹，聂广辰²⁵，　赵刚⁸，
刘军⁸，　石小田²⁶，　张春²³，　唐茂林²⁰，　徐达传²⁷

1.中国人民解放军联勤保障部队第920医院，昆明 650032； 2.中南大学湘雅医院，长沙 410008； 3.中国医学科学院整形外科医院，北京 100144； 4.上海交通大学医学院附属第六人民医院，上海 200233； 5.中南大学湘雅口腔医院，长沙 410078； 6.平顶山市湛河骨伤科医院，河南平顶山 467000； 7.同济大学附属杨浦医院，上海 200092； 8.无锡市第九人民医院，江苏无锡 214062； 9.浙江省人民医院，杭州 310014； 10.苏州瑞华骨科医院，江苏苏州 215104； 11.喀什地区第一人民医院，新疆喀什 844000； 12.青岛大学附属医院，青岛 266000； 13.南华大学衡阳医学院，湖南衡阳 421001； 14.遵义医科大学附属医院，贵州遵义 563003； 15.广东省人民医院，广州 510080； 16.宁波大学附属第一医院, 浙江宁波 315000；　17.湖南省肿瘤医院，长沙 410013； 18.沈阳医学院附属中心医院, 沈阳 110024； 19.宁波市第六医院，浙江宁波 315040； 20.温州医科大学基础医学院, 浙江温州 325035； 21.南华大学附属南华医院，湖南衡阳 421001； 22.郴州市第一人民医院，湖南郴州 423000； 23.浙江省立同德医院，浙江杭州 310012； 24.中国人民解放军联勤保障部队第988医院，郑州 450000； 25.哈尔滨市第五医院，哈尔滨 150040； 26.海南医科大学，海口 570311; 27.南方医科大学临床解剖学研究所，广州 510515

收稿日期:2024-08-20 出版日期:2024-09-25 发布日期:2024-10-21

Expert consensus on the anatomical characteristics and localization methods of perforators of anterolateral thigh flap (2024 edition)

Xu Yongqing¹, Tang Juyu²，Liu Yuanbo³, Zhou Zhengbing⁴, Jiang Canhua⁵, Zhang Xing⁶, Chang Shimin⁷, Rui Yongjun⁸, Yang Xiaodong⁹, Ju Jihui¹⁰, Sun Xiangdong¹¹,Ding Xiaoheng¹², Zhou Xiaobing¹³, Wei Zairong¹⁴, Du Qingyan³, Zang Meiqing³, Yu Fang²，Liu Zuan¹⁵，Yang Xi¹, Wei Peng¹⁶, Song Dajiang¹⁷，Li Zan¹⁷，Zhan Jie¹⁸，Nie Kaiyu¹⁴，Guo Feng⁵, Wu Panfeng², Wang Xin¹⁹，Cui Huairui²⁰, Xie Songlin²¹, Liu Jun²², Liu Yiyang²³, Li Shimin²⁴，Fan Xinyu¹，He Xiaoqing¹，Wang Teng¹, Nie Guangchen²⁵, Zhao Gang⁸，Liu Jun⁸, Shi Xiaotian²⁶, Zhang Chun²³, Tang Maolin²⁰, Xu Dachuan²⁷

1. the 920th Hospital of Joint Logistics Support Force of PLA, Kunming 650032; 2. Xiangya Hospital, Central South University, Changsha 410008; 3. Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144; 4. Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233; 5.Xiangya Stomatological Hospital, Central South University, Changsha 410078; 6.Pingdingshan Zhanhe Orthopedics Hospital, Pingdingshan 467000; 7. Yangpu Hospital, Tongji University, Shanghai 200090; 8.Wuxi No. 9 People's Hospital, Wuxi 214062; 9.Zhejiang Provincial Peoples's Hospital, Hangzhou 310014; 10. Suzhou Ruihua Orthopedic Hospital, Suzhou 215104; 11. the First People's Hospital of Kashi Prefecture, Kashi 844000; 12. the Affiliated Hospital of Qingdao University, Qingdao 266000; 13. Hengyang Medical School, University of South China, Hengyang 421001; 14. The Affiliated Hospital of Zunyi Medical University, Zunyi 563003; 15.Guangdong Provincial People's Hospital，Guangzhou 510080; 16. the First Affiliated Hospital of Ningbo University, Ningbo 315000; 17.Hunan Cancer Hospital, Changsha 410013; 18. The Central Hospital Affiliated Shenyang Medical College, Shenyang 110024; 19. Ningbo No.6 Hospital, Ningbo 315040; 20. School of Basic Medicine, Wenzhou Medical University, Wenzhou 325035; 21. the Affiliated Nanhua Hospital, University of South China, Hengyang 421001; 22. Chenzhou First People's Hospital, Chenzhou 423000; 23. Tongde Hospital of Zhejiang Province, Hangzhou 310012; 24. the 988th Hospital of Joint Logistics Support Force of PLA，Zhengzhou 450000; 25. the Fifth Hospital of Harbin，Harbin 150040; 26. Hainan Medical University, Haikou 570311; 27. Institute of Clinical Anatomy, Southern Medical University, Guangzhou 510515

Received:2024-08-20 Online:2024-09-25 Published:2024-10-21

摘要/Abstract

摘要： 股前外侧皮瓣(Anterolateral thigh flap，ALTF)是以股前外侧为组织供区、主要以旋股外侧动脉 (Lateral circumflex femoral artery，LCFA) 穿支为供血系统的外科皮瓣。ALTF作为一种经典的 “万能皮瓣” 广泛应用于临床修复重建领域。为了对ALTF穿支解剖特征与定位方法的研究成果进行系统的梳理和总结，由中华医学会显微外科学分会与中国解剖学会临床解剖学分会牵头，《中国临床解剖学杂志》编辑部组织国内多名从事显微修复重建外科的专家共同讨论，拟定《股前外侧皮瓣穿支解剖特征与定位方法的专家共识(2024版)》，旨在进一步推广其临床应用并展示我国学者在ALTF发展过程中所做的贡献。

关键词: 股前外侧皮瓣, 　旋股外侧动脉, 　专家共识

Abstract: The anterolateral thigh flap (ALTF), often referred to as a "versatile flap" due to its versatility, is extensively utilized in clinical repair and reconstructive surgery. This surgical flap involves using the anterolateral thigh as the donor site, primarily depending on the perforating branches of the lateral circumflex femoral artery (LCFA) for its blood supply. To comprehensively review and summarize the research findings regarding the anatomical characteristics and location of the perforators of the ALTF, the Microsurgery Branch of the Chinese Medical Association, the Clinical Anatomy Branch of the Chinese Society for Anatomical Sciences, and the Editorial Board of the Chinese Journal of Clinical Anatomy have taken the initiative to organize numerous domestic experts specializing in microsurgical repair and reconstruction. These experts convened to deliberate and formulate the "Expert Consensus on the Anatomical Characteristics and Localization Methods of Perforators of the Anterolateral Thigh Flap (2024 Edition)". The consensus aims to further advance the clinical application of the ALTF and to acknowledge the contributions of Chinese scholars to the advancement of ALTF techniques.

Key words: Anterolateral thigh flap;　Lateral circumflex femoral artery, 　Expert consensus

中图分类号:

R322

徐永清, 唐举玉, 刘元波, 周征兵, 蒋灿华, 张兴, 张世民, 芮永军, 杨晓东, 巨积辉, 孙向东, 丁小珩, 周小兵, 魏在荣, 杜青晏, 臧梦青, 俞芳, 刘族安, 杨曦, 魏鹏, 宋达疆, 李赞, 战杰, 聂开瑜, 郭峰, 吴攀峰, 王欣, 崔怀瑞, 谢松林, 刘俊, 刘亦杨, 李士民, 范新宇, 何晓清, 王腾, 聂广辰, 赵刚, 刘军, 石小田, 张春, 唐茂林, 徐达传. 股前外侧皮瓣穿支解剖学特征与定位方法的专家共识（2024版）[J]. 中国临床解剖学杂志, 2024, 42(5): 489-499.

Xu Yongqing, Tang Juyu, Liu Yuanbo, Zhou Zhengbing, Jiang Canhua, Zhang Xing, Chang Shimin, Rui Yongjun, Yang Xiaodong, Ju Jihui, Sun Xiangdong, Ding Xiaoheng, Zhou Xiaobing, Wei Zairong, Du Qingyan, Zang Meiqing, Yu Fang, Liu Zuan, Yang Xi, Wei Peng, Song Dajiang, Li Zan, Zhan Jie, Nie Kaiyu, Guo Feng, Wu Panfeng, Wang Xin, Cui Huairui, Xie Songlin, Liu Jun, Liu Yiyang, Li Shimin, Fan Xinyu, He Xiaoqing, Wang Teng, Nie Guangchen, Zhao Gang, Liu Jun, Shi Xiaotian, Zhang Chun, Tang Maolin, Xu Dachuan. Expert consensus on the anatomical characteristics and localization methods of perforators of anterolateral thigh flap (2024 edition)[J]. Chinese Journal of Clinical Anatomy, 2024, 42(5): 489-499.

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股前外侧皮瓣穿支解剖学特征与定位方法的专家共识（2024版）

Expert consensus on the anatomical characteristics and localization methods of perforators of anterolateral thigh flap (2024 edition)

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