二十世纪五十年代前,关于皮瓣供血研究相对较少。临床多使用随意型皮瓣。随着科技的发展,主干血管皮瓣、远端蒂皮瓣以及穿支皮瓣等相继应用于临床。轴型、穿支以及皮支链等皮瓣是实施皮瓣解剖学研究经历的三个阶段。穿支皮瓣具有对供区损害小、设计灵活等特点。皮瓣类型由皮瓣的供血来源而定。 Before the 1950s, there was relatively little research on flap blood supply. Clinical use of random type of flap. With the development of science and technology, the main vascular flaps, distal pedicel flap, and perforator flap have been used clinically. Shaft type, wear branch and skin flap and other skin flap flap anatomy is the experience of the three stages. Perforator flap has the advantages of small damage to the donor area, design flexibility and so on. The type of flap depends on the source of the flap’s blood supply.