【摘要】 目的探讨指侧方神经血管蒂岛状皮瓣在拇、食指指腹感觉功能重建中的应用价值。方法利用环、中指侧方神经血管蒂岛状皮瓣重建拇指指腹感觉 9例 ,重建食指指腹感觉 7例。结果 16例皮瓣全部成活 ,经过 6个月— 2年的随访 ,外观、质地满意 ,感觉功能S3—S3 + 级。结论应用环、中指侧方神经血管蒂岛状皮瓣是重建拇、食指指腹感觉功能的良好、可靠方法。更多还原

【Abstract】 ObjectiveTo explore the effect of the lateral island flap with neurovascular pedicle of finger on reconstruction of the sensory function of thumb and forefinger pulp.MethodsSensory functions of 9 thumb pulps and 7 forefinger pulps were reconstructed by the lateral island flap with neurovascular pedicle of ring finger and middle finger.ResultsAll 16 island flaps were survived. Follow-up survey was 6 months to 2 years. The appearance and texture of flaps were satisfactory with sensory function being S3-S3+ grade.ConclusionThe lateral island flap with neurovascular pedicle of ring finger and middle finger is a good and reliable method to reconstruct the sensory function of thumb and forefinger pulp.更多还原