摘要
传统的穿支皮瓣因面积较小而无法满足大面积创伤修复的需要。因此,包含多个穿支体的跨区皮瓣越来越多地用于创面修复。然而,跨区皮瓣中choke血管的阻力较大,导致跨区皮瓣远端血供匮乏,易出现坏死。因此,跨区皮瓣远端坏死成为大面积创面修复的一大难题。研究choke血管的血流动力学变化及血管重构对改善跨区皮瓣远端血供具有重要意义。该文对近年来国内外学者关于choke血管血流动力学及血管重构机制的研究进行了综述,以期对降低跨区皮瓣远端坏死具有一定意义。
The traditional perforator flap can not meet the need of large-area wound repair because of relatively small area.Therefore,trans-zone flap containing multiple perforasomes is increasingly used in wound repair.However,the high resistance of choke vessels in the trans-zone flap caused the insufficient blood supply at the distal end of the trans-zone flap,which may result in flap necrosis.Therefore,the necrosis at the distal end of trans-zone flap has become a difficult problem in the repair of large-area wound.Studying the hemodynamic changes and vascular remodeling of choke vessels has great significance to improve the distal blood supply of trans-zone flap.This paper reviews the researches on the hemodynamics and vascular remodeling mechanism of choke vessels at home and abroad in recent years,in order to make help for reducing the necrosis at the distal end of trans-zone flap.
作者
赵海福
方柏荣
Zhao Haifu;Fang Bairong(Department of Plastic and Cosmetic(Burn)Surgery,the Second Xiangya Hospital,Central South University,Changsha 410011,China)
出处
《中华整形外科杂志》
CSCD
2022年第1期109-114,共6页
Chinese Journal of Plastic Surgery
基金
湖南省自然科学基金(2021JJ30928)。
