【摘要】 目的　介绍第 5掌骨尺侧逆行筋膜岛状皮瓣修复小指软组织缺损的手术方法。方法　 2 0 0 1年 5月至 2 0 0 3年 9月 ,对 10例患者应用第 5掌骨尺侧逆行筋膜岛状皮瓣 ,分别修复小指掌侧、背侧和尺侧软组织缺损。皮瓣设计以第 5掌骨头尺侧与腕豆骨连线为轴线 ,其蒂部转折点在掌指关节以近 0 5～ 1cm处。皮瓣切取面积最大 5 0cm× 3 5cm ,最小 1 5cm× 1 0cm。结果　 10例皮瓣全部成活 ,术后随访 5至 7个月 ,外形接近正常 ,质地柔软 ,两点分辨觉 6～ 12mm。结论　第 5掌骨尺侧逆行筋膜岛状皮瓣有血供可靠、切取方便、质地良好等优点 ,是修复小指软组织缺损的良好方法更多还原

【Abstract】 Objective To introduce a method by reversed ulnar fasciocutaneos flap incised form the ulnar side of the fifth metacarpal area for repairing the soft tissue defect of the fifth finger. Methods From May 2001 to September 2001,ten patients with the soft tissue defects of the thenar side,dorsal side or ulnar side of the fifth finger were treated with the reversed ulnar fascio |cutaneous flap incised from the fifth metacarpal area.The axial line of the flap was the line from ulnar side of the head of the fifth metacarpal bone to the pisiform level.The revolving point of the flap pedicle was 0 5～1 cm near the proximal end of the metacarpal |phalangeal joint.The area of the flap was form 5 0 cm×3 5 cm to 1 5 cm×1 0 cm. Results All flaps of the ten cases were alive.5～7 months followed |up show that,after operation,the flap present sensation in 6～12 mm,with soft texture and good appearances. Conclusions The advantages of this operative method were as follows:the reversed ulnar fasciocutaneous flap of the fifth metacarpal area have reliable blood suppy,it was easily dissected and with good texture.So far this kind of flap is a good choice in reparing the soft tissue of the fifth finger. ;更多还原