双足第二足趾移植再造手指的疗效分析  

Effecacy analysis on finger reconstruction by transplantation of two second toes

作　　者：罗庚[1] 郭现辉[1] 江宏[1] 李燕山[1] 王国胜[1] 晏妮[1] 盛明[1] 

机构地区：[1]中山大学东华医院手外科,广东省东莞市523110

出　　处：《中华显微外科杂志》2010年第4期287-289,共3页Chinese Journal of Microsurgery

基　　金：广东省东莞市科研立项项目（2008105150049）

摘　　要：目的研究双足第二趾移植再造手指的临床应用及评价术后对足部功能及外观的影响。方法根据手指缺损情况，施行双足第二趾移植再造，其中再造双拇指2例，再造拇指和中指10例，再造示中指8例，再造中指和环指17例，共74指。结果再造74指成活73指，坏死1指。再造指经3个月～3年随访，再造指活动灵活，能写字及解扣穿衣等，抓捏物体有力，恢复体力工作，痛温觉恢复，两点辨别距离在8～12mm间，双侧供足外观对称，无疼痛，步态正常，功能影响不大。结论双足第二趾移植是多个手指缺损的理想修复方法，且对足部外观及功能影响不大。Objective To study the clinical application of finger reconstruction by transplantation of two second toes and evaluate the postoperative appearance and function regarding the reconstructed hand and donor feet. Methods Defect of fingers were treated by transplantation and reconstruction with a total of 74 cases,including two second toes transplantation for both thumbs in 2 cases,thumb with index finger in 10 cas es, index finger with middle finger in 8 cases and middle finger with ring finger in 17 cases. Results Sevety- three fingers survived except 1 failed. During the follow up examination made from 3 to 36 months, the recon- structed fingers could move, write and dress with ease, pinch forcefully, show good recovery of manual work and the sensation of pain and warmth. Two-point discrimination found to be between 5 to 10 mm. Both donor feet have symmetrical appearance with normal gait and satisfactory motion. Also, no pain was complained. Conclusion Transplantation of two second toes from both feet is a good method to reconstruct defect of multiple fingers, and has little effect on the appearance and motion of feet.

关 键 词：第二趾 移植 手指再造 显微外科 

分 类 号：R658.1[医药卫生—外科学]