穿支皮瓣与美容修复
|
摘要
随着整形外科新技术、新方法的发展,整形外科医师不再只是满足于修复创面和改善畸形,而是按照损伤组织的类型,在最大限度恢复其完整性和生理功能的基础上,尽可能无或少瘢痕增生与色素沉着,使修复部位在外形上达到或基本符合美学要求,即美容修复。穿支皮瓣的发展极大促进了美容修复理念和应用,其不同的应用形式具有诸多优势,如皮瓣一期修薄,消除"猫耳"畸形,供区直接闭合,修复不规则创面等。以穿支皮瓣修复另一皮瓣供区也成为新的趋势。本文就穿支皮瓣与美容修复的发展与相互结合进行了综述。
With the development of new technology and method of plastic surgery, plastic surgeon is no longer just meet wound repair and deformity improvement, but according to the type of tissue damage, on the basis of integrity restoration and physiological functions, as far as possible without or less scar and pigmentation, to make the repair parts meet the requirements of aesthetics. This is what we called cosmetic repair. Development of has greatly promoted the cosmetic repair concept and application. Different application forms of perforator flaps have many advantages, such as one stage thinning, "cat ear"deformities elimination, donor site directly closed, irregular wounds repair, etc. It has become a new trend to use a perforator flap repair another flap donor site. In this paper, the development and combination of perforator flap and cosmetic repair are reviewed.
With the development of new technology and method of plastic surgery, plastic surgeon is no longer just meet wound repair and deformity improvement, but according to the type of tissue damage, on the basis of integrity restoration and physiological functions, as far as possible without or less scar and pigmentation, to make the repair parts meet the requirements of aesthetics. This is what we called cosmetic repair. Development of has greatly promoted the cosmetic repair concept and application. Different application forms of perforator flaps have many advantages, such as one stage thinning, "cat ear"deformities elimination, donor site directly closed, irregular wounds repair, etc. It has become a new trend to use a perforator flap repair another flap donor site. In this paper, the development and combination of perforator flap and cosmetic repair are reviewed.
引文
[1]刘毅.整形美容外科中的皮瓣选择与合理应用[J].中华医学美学美容杂志,2016,22(5):257-258.
[2]刘毅.进一步重视特殊部位与特殊原因深度烧伤创面的美容修复[J].中华烧伤杂志,2014,30(5):389-391.
[3]刘毅.特殊原因与特殊部位伤临床救治新探索[J].中华烧伤杂志,2018,34(5):263-265.
[4]王炜.整形外科进展[J].中国修复重建外科杂志,2006,20(4):355-357.
[5]Ju JH,Hou RX.One-stage cosmetic finger reconstruction using a second toe island flap containing terminal branches of the toe artery[J].Orthop Traumatol Surg Res,2015,101(3):345-351.
[6]吕春柳,李赞,周晓,等.吻合血管的腹部皮瓣在乳腺肿瘤切除术后乳房整形中的应用[J].中国美容整形外科杂志,2017,28(7):388-392.
[7]司婧,吴炅.极限肿瘤整形技术:乳腺癌保留乳房肿瘤整形技术新挑战[J].中华乳腺病杂志(电子版),2018,12(4):242-245.
[8]张世民,王欣,唐茂林,等.穿支皮瓣的争论与当前共识[J].中华显微外科杂志,2014,37(1):3-4.
[9]肖斌,刘毅.皮瓣技术的发展及美容化理念[J].中华医学美学美容杂志,2016,22(5):315-317.
[10]李国强,丘日升,王夫平,等.鼻唇沟穿支皮瓣修复鼻部软组织缺损[J].中国美容整形外科杂志,2017,28(6):349-351.
[11]刘玉生,刘小容,高雁,等.鼻外侧动脉穿支鼻唇沟岛状皮瓣修复鼻缺损10例[J].中华显微外科杂志,2018,41(4):395-397.
[12]刘育杰,丁小珩,焦鸿生,等.多种游离微型穿支皮瓣修复手指皮肤缺损的疗效分析[J].中国美容整形外科杂志,2017,28(2):78-82,128.
[13]肖斌,刘毅.扩张皮瓣的发展及应用[J].中华医学美学美容杂志,2017,23(4):283-285.
[14]陈黎明,刘毅,王刚,等.三叶形臀部穿支螺旋桨皮瓣修复骶尾部创面[J].中华整形外科杂志,2018,34(7):519-521.
[15]陈黎明,徐立炜,刘毅,等.自由穿支皮下蒂皮瓣修复小腿前侧小面积创面[J].中国美容医学,2019,28(2):21-23.
[16]Wong S,Goggin JD,Webster ND,et al.Pre-expanded internal mammary artery perforator flap[J].Clin Plast Surg,2017,44(1):65-72.
[17]Liang JL,Liu XY,Qiu T,et al.Microdissected thin anterolateral thigh perforator flaps with multiple perforators:A series of case reports[J].Medicine(Baltimore),2018,97(4):e9454.
[18]曾德斌,粟鹏程,邱勋永,等.不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,27(3):21-23.
[19]王春梅,杨思奋,范金财,等.扩张预制超薄穿支皮瓣在面颈部瘢痕修复中的研究及应用[J].中华整形外科杂志,2015,31(1):5-10.
[20]李新生.扩张超薄穿支皮瓣在修复面颈部大面积瘢痕畸形及皮肤缺损中的价值[J].医学理论与实践,2018,31(9):1328-1329.
[21]Liao Y,Luo Y,Lu F,et al.Pre-expanded intercostal perforator superthin skin flap[J].Clin Plast Surg,2017,44(1):73-89.
[22]龚朝建,王铠,张胜,等.旋股外侧血管嵌合皮瓣的解剖学基础及在口腔颌面部缺损重建中的应用[J].中华显微外科杂志,2014,37(5):436-439.
[23]陈黎明,刘毅,张诚,等.股前外侧嵌合穿支皮瓣修复合并深部无效腔特殊部位创面[J].中华烧伤杂志,2018,34(5):288-290.
[24]陈晓,邢新.穿支皮瓣研究新领域:面部穿支皮瓣[J].中国美容整形外科杂志,2013,24(3):137-139.
[25]栗颖利,唐炜雅,邢新,等.船形改良拱顶石穿支岛状皮瓣修复跨关节部位软组织缺损[J].中国美容整形外科杂志,2017,28(1):23-25.
[26]张培培,杨超,邢新,等.面动脉穿支皮瓣修复鼻、唇与颊部皮肤软组织缺损[J].中华整形外科杂志,2016,32(1):35-38.
[27]李丹,邢新,唐炜雅,等.耳屏前穿支皮瓣修复耳垂前侧缺损[J].中国美容整形外科杂志,2018,29(4):211-213.
[28]胡泊,李鹏,王颖.掌背穿支皮瓣滑移术在先天性并指畸形指蹼重建中的应用[J].中国医疗美容,2017,7(3):37-39.
[29]陈黎明,刘毅,张鲜英,等.前臂骨间后动脉穿支皮瓣修复手部Ⅳ度电击伤创面的效果[J].中华烧伤杂志,2017,33(7):437-438.
[30]Cheng A,Saint-Cyr M.Use of a pre-expanded“propeller”deep inferior epigastric perforator(DIEP)flap for a large abdominal wall defect[J].J Plast Reconstr Aesthet Surg,2013,66(6):851-854.
[31]陈雪松,徐永清,陈建明,等.外踝上穿支蒂腓浅神经营养血管皮肤筋膜瓣修复足背皮瓣供区[J].中华整形外科杂志,2013,29(5):345-348.
[32]周晓,薛明宇,芮永军,等.以膝上外侧穿支为蒂的V-Y皮瓣修复股前外侧皮瓣供区[J].中华整形外科杂志,2014,30(1):26-28.
[33]周晓,薛明宇,芮永军,等.以小腿后侧穿支蒂接力皮瓣修复小儿跟后区皮肤软组织缺损[J].中华医学杂志,2015,95(7):544-546.
[34]龚飞宇,魏在荣,金文虎,等.旋股外侧动脉斜支穿支皮瓣供区闭合方式探讨[J].中国美容整形外科杂志,2017,28(4):218-221.
[2]刘毅.进一步重视特殊部位与特殊原因深度烧伤创面的美容修复[J].中华烧伤杂志,2014,30(5):389-391.
[3]刘毅.特殊原因与特殊部位伤临床救治新探索[J].中华烧伤杂志,2018,34(5):263-265.
[4]王炜.整形外科进展[J].中国修复重建外科杂志,2006,20(4):355-357.
[5]Ju JH,Hou RX.One-stage cosmetic finger reconstruction using a second toe island flap containing terminal branches of the toe artery[J].Orthop Traumatol Surg Res,2015,101(3):345-351.
[6]吕春柳,李赞,周晓,等.吻合血管的腹部皮瓣在乳腺肿瘤切除术后乳房整形中的应用[J].中国美容整形外科杂志,2017,28(7):388-392.
[7]司婧,吴炅.极限肿瘤整形技术:乳腺癌保留乳房肿瘤整形技术新挑战[J].中华乳腺病杂志(电子版),2018,12(4):242-245.
[8]张世民,王欣,唐茂林,等.穿支皮瓣的争论与当前共识[J].中华显微外科杂志,2014,37(1):3-4.
[9]肖斌,刘毅.皮瓣技术的发展及美容化理念[J].中华医学美学美容杂志,2016,22(5):315-317.
[10]李国强,丘日升,王夫平,等.鼻唇沟穿支皮瓣修复鼻部软组织缺损[J].中国美容整形外科杂志,2017,28(6):349-351.
[11]刘玉生,刘小容,高雁,等.鼻外侧动脉穿支鼻唇沟岛状皮瓣修复鼻缺损10例[J].中华显微外科杂志,2018,41(4):395-397.
[12]刘育杰,丁小珩,焦鸿生,等.多种游离微型穿支皮瓣修复手指皮肤缺损的疗效分析[J].中国美容整形外科杂志,2017,28(2):78-82,128.
[13]肖斌,刘毅.扩张皮瓣的发展及应用[J].中华医学美学美容杂志,2017,23(4):283-285.
[14]陈黎明,刘毅,王刚,等.三叶形臀部穿支螺旋桨皮瓣修复骶尾部创面[J].中华整形外科杂志,2018,34(7):519-521.
[15]陈黎明,徐立炜,刘毅,等.自由穿支皮下蒂皮瓣修复小腿前侧小面积创面[J].中国美容医学,2019,28(2):21-23.
[16]Wong S,Goggin JD,Webster ND,et al.Pre-expanded internal mammary artery perforator flap[J].Clin Plast Surg,2017,44(1):65-72.
[17]Liang JL,Liu XY,Qiu T,et al.Microdissected thin anterolateral thigh perforator flaps with multiple perforators:A series of case reports[J].Medicine(Baltimore),2018,97(4):e9454.
[18]曾德斌,粟鹏程,邱勋永,等.不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,27(3):21-23.
[19]王春梅,杨思奋,范金财,等.扩张预制超薄穿支皮瓣在面颈部瘢痕修复中的研究及应用[J].中华整形外科杂志,2015,31(1):5-10.
[20]李新生.扩张超薄穿支皮瓣在修复面颈部大面积瘢痕畸形及皮肤缺损中的价值[J].医学理论与实践,2018,31(9):1328-1329.
[21]Liao Y,Luo Y,Lu F,et al.Pre-expanded intercostal perforator superthin skin flap[J].Clin Plast Surg,2017,44(1):73-89.
[22]龚朝建,王铠,张胜,等.旋股外侧血管嵌合皮瓣的解剖学基础及在口腔颌面部缺损重建中的应用[J].中华显微外科杂志,2014,37(5):436-439.
[23]陈黎明,刘毅,张诚,等.股前外侧嵌合穿支皮瓣修复合并深部无效腔特殊部位创面[J].中华烧伤杂志,2018,34(5):288-290.
[24]陈晓,邢新.穿支皮瓣研究新领域:面部穿支皮瓣[J].中国美容整形外科杂志,2013,24(3):137-139.
[25]栗颖利,唐炜雅,邢新,等.船形改良拱顶石穿支岛状皮瓣修复跨关节部位软组织缺损[J].中国美容整形外科杂志,2017,28(1):23-25.
[26]张培培,杨超,邢新,等.面动脉穿支皮瓣修复鼻、唇与颊部皮肤软组织缺损[J].中华整形外科杂志,2016,32(1):35-38.
[27]李丹,邢新,唐炜雅,等.耳屏前穿支皮瓣修复耳垂前侧缺损[J].中国美容整形外科杂志,2018,29(4):211-213.
[28]胡泊,李鹏,王颖.掌背穿支皮瓣滑移术在先天性并指畸形指蹼重建中的应用[J].中国医疗美容,2017,7(3):37-39.
[29]陈黎明,刘毅,张鲜英,等.前臂骨间后动脉穿支皮瓣修复手部Ⅳ度电击伤创面的效果[J].中华烧伤杂志,2017,33(7):437-438.
[30]Cheng A,Saint-Cyr M.Use of a pre-expanded“propeller”deep inferior epigastric perforator(DIEP)flap for a large abdominal wall defect[J].J Plast Reconstr Aesthet Surg,2013,66(6):851-854.
[31]陈雪松,徐永清,陈建明,等.外踝上穿支蒂腓浅神经营养血管皮肤筋膜瓣修复足背皮瓣供区[J].中华整形外科杂志,2013,29(5):345-348.
[32]周晓,薛明宇,芮永军,等.以膝上外侧穿支为蒂的V-Y皮瓣修复股前外侧皮瓣供区[J].中华整形外科杂志,2014,30(1):26-28.
[33]周晓,薛明宇,芮永军,等.以小腿后侧穿支蒂接力皮瓣修复小儿跟后区皮肤软组织缺损[J].中华医学杂志,2015,95(7):544-546.
[34]龚飞宇,魏在荣,金文虎,等.旋股外侧动脉斜支穿支皮瓣供区闭合方式探讨[J].中国美容整形外科杂志,2017,28(4):218-221.