【摘要】 目的 总结1985年以来，临床52例应用15种岛状皮瓣、肌皮瓣，修复四肢创伤软组织缺损、瘢痕挛缩畸形、先天性畸形鼻再造以及巨大直肠阴道瘘的修补经验。

    方法 以非主干动脉的岛状皮瓣为主共47例(90.38%)，其中逆行岛状皮瓣24例，占

    46.15%。

     结果 52例中除1例胸大肌岛状肌皮瓣远端有很小面积坏死外，余均全部成活。40例术后随访8个月～11年，功能及形态恢复满意。

     结论 岛状皮瓣、肌皮瓣具有血运丰富、抗菌能力强，移位方便、操作简单，不受设备条件的限制等优点。

    Clinical applications of island and myocutaneous flaps Jin Zhifu,Liao Anguo,Bu

    Changlong,et al.The Department of Plastic Surgery,Huangshi 3rd Hospital,Huangshi 435000

    【Abstract】 Objective This is to introduce the experience in clinical applications

    of the island and myocutaneous flaps.Methods Since 1985 fifteen types of vascularized

    island and myocutaneous flaps have been applied in 52 cases (21 positions) for the following

     ......