甲皮瓣与带指神经血管蒂岛状皮瓣联合移植再造拇指  

Combined transfer of the dorsal flap from the big toe and digital neurovascular island flap for thumb reconstruction

作　　者：周礼荣 蔡仁祥 王伟 丁任 李峻 刘迎曦 

机构地区：[1]上海市宝山区吴淞中心医院手外科,显微外科中心,200940

出　　处：《中华显微外科杂志》2001年第3期165-166,共2页Chinese Journal of Microsurgery

基　　金：上海市医学院领先学科基金资助项目 (982 0 0 2 )

摘　　要：目的　探讨拇指再造的新术式。　方法　采用吻合血管的甲皮瓣和带指神经血管蒂的岛状皮瓣移位瓦合 ,急诊延迟一期再造拇指。　结果　再造拇指 10例全部成活 ,外形与功能良好 ,趾趾腹保持完整 ,手指活动正常。　结论　吻合血管甲皮瓣与带指神经血管蒂岛状皮瓣联合移植为拇指再造提供一种新的方法 ,适用于拇指皮肤脱套伤及 度～Objective To introduce a new procedure for thumb reconstruction Methods Subacute primary thumb reconstruction was performed in 10 cases, by combined transfer of the dorsal flap from the big toe and digital neurovascular island flap from the ulnar side of the middle finger or the radial side of the ring finger Results All the transplants survived The appearance and function of the reconstructed thumbs were satisfactory Conclusion This procedure provides a new method for thumb reconstruction The main indications are degloved injuries of the thumbs and Ⅱ～Ⅲ degree defect of the thumbs

关 键 词：拇指再造 MU甲皮瓣 带指神经血管蒂 岛状皮瓣 联合移植 

分 类 号：R622[医药卫生—整形外科]