显微镜下应用拇趾腓侧皮瓣移植修复手指指腹缺损创面

Application of the great toe fibular skin flap in repair of finger ventral defect under microscopy

目的探讨显微镜下采用拇趾腓侧皮瓣移植修复手指指腹缺损创面的效果。方法在显微镜下应用拇趾腓侧皮瓣移植修复20例手指指腹缺损患者。皮瓣切取面积1.5 cm×1.0 cm^2.5 cm×2.0 cm。结果手术时间1.5~2.5 h。20例移植皮瓣全部成活,无动、静脉危象发生。患者均获得随访,时间12~36个月。术后12个月按中华医学会手外科学会上肢部分功能标准评定疗效:优15例,良4例,一般1例。结论显微镜下切取拇趾腓侧皮瓣移植修复手指指腹缺损,创伤小,手术时间短,疗效满意。

Objective To investigate the clinical application effect of the great toe fibular skin flap in repair of finger ventral defect under microscopy.Methods Twenty cases with finger ventral defect were repaired by using the great toe fibular skin flap,the area of the great toe fibular skin flap was 1.5 cm×1.0 cm^2.5 cm×2.0 cm.Results The operation time was 1.5~2.5 h.All the cases of the great toe fibular skin flaps were survived,no venous crisis existed.All patients were followed up for 12~36 months.At 12 months after the operation,according to the standard of Hand Surgery of the Chinese Medical Association for upper limbs,the results were excellent in 15 cases,good in 4,fair in 1.Conclusions Under the microscope,the fibrous flap of the thumb is used to repair the finger pulp defect.The operation takes short time to get satisfactory result with less trauma.