游离皮瓣修复指尖缺损的治疗进展

Progress in the treatment of free flap for repairing fingertip defects

指尖损伤常常涉及到皮肤、软组织甚至骨骼的缺失,严重影响患者的手部功能和外观。因此,指尖修复既要求恢复功能,也要求兼顾美观,而如何更好地修复指尖缺损创面成为了手外科医生不断探索的一个难题。近些年游离皮瓣在指尖修复领域取得了显著的进展,桡动脉掌浅支游离皮瓣、游离鱼际皮瓣及游离趾瓣等游离皮瓣手术为解决这一问题提供了多种有效的方法。本文通过查阅国内外关于游离皮瓣在指尖修复方面的文献,总结了游离皮瓣在指尖缺损修复的应用现状及研究进展,为临床指尖缺损患者个性化治疗提供参考。

Fingertip injuries often involve the loss of skin,soft tissue,and sometimes even phalange,seriously affecting the patient's hand function and appearance.Therefore,fingertip reconstruction requires both functional recovery and aesthetics.And how to better restore fingertip defect has become an issue that hand surgeons should continue to explore.In recent years,free flaps have made remarkable progress in the field of fingertip repair,and free flaps such as radial artery superficial palmar branch free flap,free thenar flap and free toe flap provide a variety of effective methods to solve the problem.By referring to the literatures on free flap in fingertip repair,this paper summarises the application status and research progress of free flap in fingertip defect reconstruction,providing a reference for personalised treatment of patients with fingertip defect.