2～5指四指缺损48例修复体会  

Reconstruction for absence of 2-5 fingers with normal thumb

作　　者：候明钟[1] 黄硕麟[1] 袁启智[1] 黄燮青[1] 缪勇[1] 

机构地区：[1]上海市第一人民医院整形外科

出　　处：《中华手外科杂志》1994年第4期201-203,共3页Chinese Journal of Hand Surgery

摘　　要：近１１年来修复拇指健在，２～５指缺损者４８例，再造５９个手指，成功率９３．７％（４５例／４８例，手指存活率９１．５％（５４指／５９指）．对选择再造手指的部位、指数、指节、手内肌功能修复及皮肤覆盖等进行了临床分析，提出再造手指的多少应据伤情而定，要求质量好，不在予数量多，而且必须重视手内肌的修复。用甲皮瓣包裹冷冻异体手指复合组织，可以代替一个足趾数，外形与功能均佳，供足步行不受影响。Abstract From July 1987 to November 1992,reconstruction of 59fingers have been performed on 48 patients exiting thumb but traumatically amputated all 2-5 fingers at different levels.The success rate was 93.7% The site,number and length of reconstructed finger,the repair of interior muscles and skin on the hand were discussed.The quality was more important than quantity of reconstructed finger.A free big toe wrap around flap with frozen preserved allogenic phalanx-joint-tendon composite tissue could be used instead of an autogenous toe,with both good appearance and function

关 键 词：手指缺损 手指再造 修复术 

分 类 号：R658.2[医药卫生—外科学]