不同类型带蒂皮瓣修复指端缺损的效果

①目的 探讨不同类型带蒂皮瓣急症修复指端缺损的效果。②方法 分别采用指动脉逆行岛状皮瓣、示指背侧岛状皮瓣、同指背侧岛状皮瓣、拇指桡侧指动脉逆行岛状皮瓣及邻指皮瓣急诊修复指端缺损病人29例。③结果 经3个月－2年（平均10个月）的随访，皮瓣血运、弹性、质地良好。感觉恢复情况：指动脉逆行岛状皮瓣平均为5mm，示指背侧岛状皮瓣平均为8mm，同指背侧岛状皮瓣平均为7mm，拇指桡侧指动脉逆行岛状皮瓣平均为7mm，邻指皮瓣平均为7mm。④结论 指端缺损的修复方法多，各种带蒂皮瓣均有其优点，应灵活掌握适应证。

PEDICLE FLAPS FOR REPAIR OF FINGERTIP DEFECT

Objective\ To study the outcome of fingerti p defect repaired by different pedicle flaps in emergency cases. Methods\ Twenty nine cases with fingertip defect were repaired , among which 7 by transfer of digital artery retroversal island flap,4 by pedic le island flap of index finger, 5 by dorsal island homodigital flap, 3 by radia l digital artery retroversal island flap, and 10 by cross finger flap. \ Results\ All of the flaps survived. A period of 3-24 months follow up (an average of 10 months)showed that the blood supply, elasticity and textu re of flaps were fine. An average of the two point discrimination was 6 mm in g roup A, 9 mm in group B, 8 mm in group C, 7 mm in group D and 8 mm in group E.\ Conclusion\ Among many methods in emergency repair of fingertip defect, transfer of pedicle flaps is applicable.