王鹏 刘毅 陈黎明 徐承新 王刚 刘晓慧

    [摘要]目的：探讨拱顶石穿支岛状皮瓣(Keystone design perforator island flap，KDPIF)设计原则及修复各类创面时的方法改良。方法：应用KDPIF修复各部位创面11例，缺损面积为5.0cm×3.5cm～10.0cm×5.0cm，通过临床病例分析，探讨该皮瓣的方法改良。结果：本组11例皮瓣均100%成活，伤口一期愈合，术后随访1年所有患者形态及功能满意。结论：KDPIF在创面修复中具有设计简单、术时较短、血供可靠、适应性广、术后外观及功能好的特点;该皮瓣共有7种改良方式，根据创面情况灵活应用改良KDPIF可使创面修复效果更佳。

    [关键词]拱顶石皮瓣;創面修复;穿支皮瓣;改良皮瓣;方法探讨;皮瓣设计

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2021)01-0021-03

    Application Effect and Improved Method of Keystone Design Perforator Island Flap in Wound Repair

    WANG Peng，LIU Yi，CHEN Li-ming，XU Cheng-xin，WANG Gang，LI Xiao-hui

    (The PLA Burn Plastic Surgery Center，the 940th Hospital of the PLA Joint Logistic Support Force，Lanzhou 730000，Gansu，China)

    Abstract： Objective? To explore the design principle and the improvement strategies of keystone design perforator island flap (KDPIF) in repairing various wounds. Methods? KDPIF was used to repair wounds in 11 cases with the defect area from 5.0cm×3.5cm to 10.0cm×5.0cm， discussing the latest progress in clinical improvement strategy by analyzing clinical cases in this paper. Results? All the 11 flaps survived 100% ......