烧伤科面临着许多复杂性创面的修复，一方面深度烧伤创面未见明显减少；另一方面各种复杂性、难治性创面越来越多，复杂性创面绝大部分仍需各种皮瓣进行修复；再一方面皮瓣外科发展迅速，因此烧伤科医师应进一步加强对皮瓣的学习与研究。本文重点对烧伤科医师研究皮瓣的必要性、皮瓣外科发展的简史、修复重建的阶梯、皮瓣选择的考虑、皮瓣修复的适应证、不同部位创面的皮瓣修复等方面做了较为详尽的介绍。显微外科皮瓣技术一直在稳步向前发展，其发展具有划时代的意义，随着科技的进步，修复重建外科医师包括烧伤科医师在创面修复方面可以运用多方面的皮瓣技术，特别在自由设计的穿支皮瓣、超级显微外科、皮瓣预制、皮瓣预构及机器人技术等领域取得更突出的成绩。

Burn surgery is faced with many complex wound repair. On the one hand, deep burn wounds have not been significantly reduced, on the other hand, there are more and more complex and refractory wounds. Most of the complex wounds still need to be repaired by various skin flaps. Third, the development of flap surgery is rapid. Therefore, burn surgeons should further strengthen the study and research of skin flaps. In this paper, the necessity of skin flap study for burn surgeons, the brief history of flap surgery development, about reconstructive ladder, the consideration of flap selection, the indications of skin flaps repair, and the skin flaps repair for different parts of wound are introduced in detail. The development of microsurgical flap technology has been steadily moving forward, and it is of epoch-making significance. With the progress of science and technology, repair and reconstruction surgeons, including burn surgeons, can use various flap technologies in wound repair, especially in the fields of free-style perforator flap, super microsurgery, flap prelamination, flap prefabrication and robot technology. More outstanding achievements will be made in this respect.