组织瓣联合移植急诊修复手部严重组织缺损

目的：介绍采用组织瓣联合移植急诊修复手部组织严重缺损的方法。方法：修复20例手部严重外伤的组织搭配；（1）股前外侧皮瓣和带足趾（单侧或双侧）；Mu甲瓣的足痛皮瓣组合移植，修复全手皮肤撕脱伤5例。（2）双侧第二足趾及Mu甲瓣游离移植再造拇指，示，中指或示，中环指9例。（3）股前外侧皮瓣组合其它皮瓣修复手部及手指皮肤缺损6例。结果：20例43块移植组织瓣全部成活，再造手指及手功能恢复良好。结论：组织瓣联合移植急诊修复再赞赏手，是治疗手部组织严重缺损的理想方法。

Composite transfer of transplants for emergent repair of severe tissue defect at the hand

Objective To introduce a procedure of composite transfer of transplants for emergent repair of severe tissue defect at the hand.Methods 20 cases of severe injuries in the hand were repaired as follows: (1) Flap femoris anterior lateralis in combination with free toe transplantation (unilateral or bilateral)and wrap round flap for skin degloving injury in the hand in 5 cases.(2) The second toe at both sides and wrap round flap for reconstruction of the thumb, the second and third finger or the second,third and fourth finger in 9 cases.(3) Flap femoris anterior lateralis in combination with other flap for repair of skin defect in the hand and fingers in 6 cases. Results All of 43 transplants in 20 cases were survived. The function of the reconstructed fingers and hands were restored satisfactory. Conclusions The composite transfer of transplants for emergent repair was an ideal method in treatment of the severe tissue defect in the hand.