【摘要】 目的:拇趾腹皮瓣联合跖底皮瓣修复拇、手指指腹较大面积缺损的临床价值。方法:总结2000年以来应用游离移植拇趾腹皮瓣联合跖底皮瓣修复拇、手指指腹缺损12例,皮瓣大小:长6~8 cm,宽1.5~3 cm。跖底皮瓣供区直接缝合,趾腹供区创面应用足底内侧全厚皮片植皮修复。结果:12例皮瓣全部成活,术后随访2月~2年,修复的指腹外形饱满美观,皮瓣与正常指腹皮肤质地颜色相同,皮瓣皮纹清晰,两点辨别觉为5~7 mm,供区瘢痕轻,无功能障碍。结论:拇趾腹皮瓣联合跖底皮瓣切取面积较大,质地优良,是修复较大面积指掌侧皮肤缺损的较好方法。更多还原

【Abstract】 Objective: To conclude the hallux pulp flap combined with plantar metatarsal flap in repairing the larger pulp defect of fingers.Methods: To examine the 12 cases of pulp defect of fingers repairing with free hallux pulp flaps combined with plantar matatarsal flaps since 2000;these flaps area: 6～8 cm at length and 1.5～3.0 cm at width.The plantar donor area could be surtured directly and the wound of toe pulp donor could be repaired with full-thickness skin graft of the medial plantar skin.Result: All the transplanted pulp flaps were survived and after fl.up of 2 m～2 yr,the repaired pulps were well-stacked,with the same color and clear dermatoglyph as the other nomal pulps.The repaired fingers had no phenomenone of dysfunction but of slight scar,whose two-point-discrimination were up to 5～7 mm.Conclusion: Hallux pulp flap combined with plantar mematarsal pulp is one fine modus operandi of repairing the larger digital pulp defect because of its larger cut-off area and well texture.更多还原