摘要特殊形式穿支皮瓣是在传统穿支皮瓣的基础上衍生而来,进一步丰富了穿支皮瓣的内涵,扩大了穿支皮瓣的适应证。特殊形式穿支皮瓣分为基本类型与衍生类型,前者包括血流桥接穿支皮瓣、显微削薄穿支皮瓣、分叶穿支皮瓣、嵌合穿支皮瓣和联体穿支皮瓣5种术式,后者为5种基本术式中2种或2种以上技术的组合而产生,如血流桥接-分叶穿支皮瓣、血流桥接-显微削薄-分叶穿支皮瓣、血流桥接-显微削薄-嵌合-联体穿支皮瓣等18种术式类型。为更好推广与普及特殊形式穿支皮瓣技术,有必要规范其命名与分型,本文提出特殊形式穿支皮瓣及其衍生术式的分型命名原则,以便于交流与推广应用,供同道们讨论。

abstractsThe special form of perforator flap, initially derived from traditional perforator flap, have enhanced the connotation of perforator flap and extended its indications to more sophisticated applications. The special-form perforator flaps could be classified into 5 basic types and 18 derivatives. The 5 basic types consist of a Flow through perforator flap, a micro-dissected thin perforator flap, a polyfoliate perforator flap, a chimeric perforator flap and a conjoined perforator flap. The 18 derivatives are based on the combination of either 2, 3 or 4 types of the flaps from the 5 basic types named above, such as the Flow through-polyfoliate perforator flap, the Flow through-microdissected-polyfoliate perforator flap, and the Flow through-microdissected-chimeric-polyfoliate perforator flap etc.. In order to popularise the special forms of perforator flap, it is necessary to standardise the nomenclature and classification of the flaps. The present article provides a principle for nomenclature of the special-form perforator flaps and their derivatives, hence to facilitate the peer communications and clinical promotions.