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r pedicle, and then cut off the flap along the boundary of the flap. ?逆行切取 從皮瓣遠端開始 ,由遠向近切取皮瓣 First, cut off the flap, and then dissociate the vascular pedicle. 皮瓣切取 operation manners Classical manner Reverse manner Changzheng 順行切取 Classical manner 逆行切取 Reverse manner Changzheng ?皮瓣移位 Shift ?皮瓣推進 Advancement ?皮瓣旋轉 Rotation ?交叉移植 crossing 皮瓣轉移 Flap transfer Changzheng 皮 瓣 移 位 Shift of flap Changzheng Changzheng Changzheng 皮 瓣 推 進 Advancement of flap Changzheng A B C D Changzheng Changzheng Changzheng Changzheng 皮 瓣 旋 轉 Rotation of flap Changzheng Changzheng Changzheng Changzheng Changzheng 交 叉 移 植 Cross transplant Changzheng Changzheng Changzheng 注 意 事 項 Notes ? 選用正常部位皮膚和肌肉作為供區(qū) Choose the normal skin and muscle as donor tissue. ? 徹底切除疤痕組織,注意無張力縫合 The sinus, dead bone, inflammatory tissue with poor blood supply must be thoroughly cleaned. ? 嚴格按解剖層次切取皮瓣,防止血管 與皮瓣,肌肉與皮膚分離 Cut the flap according to the anatomical arrangement to avoid vessel separation from the flap, and muscle from the skin. Changzheng 注 意 事 項 Notes ? 切取肌皮瓣,若皮膚范圍超過肌肉范 圍時,應包括完整深筋膜 If the myocutaneous flap is needed, and the skin scope exceeds that of the muscle, the fascia profunda should be reserved pletely . ? 皮瓣轉移時,應防止血管蒂卷曲、扭 轉和受壓 During the operation, vascular pedicle should not be curled, pressed and retorted. Changzheng 謝謝大家 Thank You !