背阔肌肌皮瓣是临床上常用的肌皮瓣,但在其皮瓣形成过程中,需要切除部分或者全部背阔肌,并且牺牲胸背神经,从而导致术后背部凹陷畸形,背阔肌功能丧失[1]。1989年Koshima等[2]提出了“穿支皮瓣(perforator flap)”的概念,1995年Angrigiani等[3]首次报道了胸背动脉穿支皮瓣(Thoracodorsal arterial perforator flap,TDAP)的研究结果和临床应用,证实了该皮瓣由胸背动脉穿 Lattice myocutaneous flap is a common clinical myocutaneous flap, but in the process of flap formation, some or all of the latissimus dorsi should be excised, and the thoracodorsal nerve should be sacrificed, resulting in deformity of the back and latissimus dorsi Loss of function [1]. In 1989, Koshima et al [2] proposed the concept of “perforator flap”. In 1995, Angrigiani et al [3] first reported the thoracodorsal arterial perforator flap (TDAP) The results and clinical application, confirmed the flap through the thoracodorsal artery