拇指V度缺损再造一例  

Reconstruction of degree V defect of thumb:A case report

作　　者：陈川 黄耀鹏[1] 潘佳栋[1] 王欣[1] CHEN Chuan;HUANG Yaopeng;PAN Jiadong;WANG Xin(Department of Hand Surgery,Ningbo No.6 Hospital,Ningbo,Zhejiang Province 315000,China)

机构地区：[1]宁波市第六医院手外科,浙江宁波315000

出　　处：《中华显微外科杂志》2022年第6期696-699,共4页Chinese Journal of Microsurgery

摘　　要：2014年3月,宁波市第六医院手外科收治1例右拇指V度缺损的患者,采用游离右侧[⻊母]甲瓣联合第2趾骨腱复合组织再造拇指、游离右侧旋骼浅动脉穿支皮瓣(SCIPF)及自体髂骨修复足供区。术后7年,右手功能改善明显,而右足的功能未见明显影响;根据Michigan手功能评分80分,按中华医学会手外科医学分会拇、手指再造功能评定为优(14分)。In March 2014,a degree V defect of right thumb was reconstructed with a free right hallux nail flap combined with bone and tendon composite tissue of the 2nd toe in the Department of Hand Surgery,Ningbo No.6 Hospital.A freed right superficial iliac circumflex artery perforator flap(SCIPF)and autologous iliac bone were used to repair the donor site of foot.The hand function was evaluated according to the upper limb function scoring system.Seven years after operation,the function of the right hand was significantly improved and the function of right foot was not significantly affected.According to the Michigan Hand Function Score,the result was 80 point.Functional recovery evaluated according to the Evaluation Standard of Reconstructed Thumb and Finger Functional of Hand Surgery of Chinese Medical Association,the result was excellent(14 point).

关 键 词：拇指缺损 [⻊母]甲瓣 再造 显微外科技术 

分 类 号：R658.2[医药卫生—外科学]