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2013外科主治医师整形外科学复习3

  2013年外科主治医师整形外科学复习要点

  皮瓣

  1.定义:皮瓣是一具有血液供应的皮肤及其附着的皮下组织所形成,有蒂部与本体(供皮瓣区)相连,以保持血液供应。

  2.Perforator flap穿支皮瓣:a flap of skin or subcutaneous tissue that is based on the dissection of a “perforating vessel”.(an isolated perforator vessel)

  Classification 直接皮穿支皮瓣、肌穿支皮瓣、肌间隔穿支皮瓣

  Advantage:供区和受区在美学和功能上获得最佳修复效果

  Those flaps with combinations of sources of vascularization include (1) conjoined flaps, defined as multiple flap territories, dependent because of some common physical junction, yet each retaining its independent vascular supply; and (2) chimeric flaps, defined as multiple flap territories, each with an independent vascular supply, and independent of any physical interconnection except where linked by a common source vessel.

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