股前外侧皮瓣的穿支定位及皮瓣优化设计

doi:10.13418/j.issn.1001-165x.2024.5.06

摘要/Abstract

摘要： 股前外侧皮瓣（ALTF）由中国学者首次报道以来，经过国内外学者们40年的深入研究，不断推陈出新，被誉为“万能皮瓣”。截至目前，有近20种穿支定位方法用于辅助ALTF的穿支定位，也有近20种皮瓣设计和切取方案。本文从ALTF的应用解剖、穿支定位方法以及优化设计出发，总结了作者10余年从事ALTF的穿支定位选择和多种皮瓣优化设计流程，以期进一步提高其临床应用价值。

关键词: 股前外侧皮瓣； , , 三纵五横法； , , 计算机断层扫描血管造影

Abstract: Anterolateral thigh flap (ALTF) was first reported by Chinese scholars, and after 40 years of in-depth research by domestic and foreign scholars, it has been continuously innovated, and is known as "universal flap". Up to now, there were nearly 20 perforator mapping methods to assist ALTF localization of perforating branch, and there were nearly 20 flap design and incision schemes. Based on the applied anatomy of ALTF, perforator mapping methods and optimal design, this paper summarized the selection of perforator mapping methods and various flap optimization design of ALTF engaged in by the author for more than 10 years in order to further improve its clinical application value.

Key words: Anterolateral thigh flap; , , 3-5 system; , , Computed tomographic angiography

中图分类号:

R622

魏在荣. 股前外侧皮瓣的穿支定位及皮瓣优化设计[J]. 中国临床解剖学杂志, 2024, 42(5): 523-528.

Wei Zairong. Localization of perforating branch and optimal design of anterolateral thigh flap[J]. Chinese Journal of Clinical Anatomy, 2024, 42(5): 523-528.

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