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趾腹腓侧皮瓣移植修复指腹缺损
引用本文:周礼荣,王伟,李峻,刘迎曦,吴容. 趾腹腓侧皮瓣移植修复指腹缺损[J]. 中华手外科杂志, 2004, 0(4)
作者姓名:周礼荣  王伟  李峻  刘迎曦  吴容
作者单位:上海市第一人民医院宝山分院手、显微外科中心 200940(周礼荣,王伟,李峻,刘迎曦),上海市第一人民医院宝山分院手、显微外科中心 200940(吴容)
基金项目:上海市宝山区科技发展基金资助项目 0 3 A 32
摘    要:目的 介绍游离趾腹腓侧皮瓣移植修复拇、手指腹缺损的临床效果。方法  2 0 0 0年 9月起 ,亚急诊行游离趾腹腓侧皮瓣修复拇、手指全指腹缺损 6例。结果  6例皮瓣全部成活 ,术后随访 3个月~ 3年 ,拇、手指外形满意 ,皮瓣两点分辨觉达 6~ 10mm ,手指活动功能良好。结论 趾腹腓侧皮瓣移植术是修复拇指指腹缺损的首选方法 ,也适用于修复示、中指指腹缺损。

关 键 词:组织移植  外科皮瓣  指损伤

Repair of whole pulp defect of thumb and fingers by vascularized fibular pulp flap of the big toe
ZHOU Li-rong,WANG Wei,LI Jun,et al.. Repair of whole pulp defect of thumb and fingers by vascularized fibular pulp flap of the big toe[J]. Chinses Journal of Hand Surgery, 2004, 0(4)
Authors:ZHOU Li-rong  WANG Wei  LI Jun  et al.
Affiliation:ZHOU Li-rong,WANG Wei,LI Jun,et al. Hand and Microsurgery Center,Bao Shan Branch of The Shanghai First People's Hospital,Jiao Tong University,Shanghai,200940,China
Abstract:Objective To observe the clinical effects of repair of whole pulp defect of the thumb and fingers by vascularized fibular pulp flap of the big toe.Methods Since September 2000, transfer of vascularized flap of the pulp of the big toe at the fibular side was done in 6 cases to repair defect of thumb and finger pulp.Results All the 6 transfered flaps survived. The period of follow-up ranged from 3 months to 3 years. The appearance and function of the reconstructed thumbs and fingers were satisfactory. 2-point discrimination was 6-10 mm. Good finger motion was obtained.Conclusion Vascularized flap of the pulp of the big toe at the lateral(fibular) side is the flap of choice for microsurgical reconstruction of pulp defects of the thumb. It was also indicated for pulp defect of the fingers.
Keywords:Tissue transplatation  Surgical flaps  Finger injuries
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