摘要
本文介绍几种带血管神经蒂皮瓣移转再造拇指方法,临床应用14例,效果满意。其中采用手指岛状皮瓣12例,前臂逆行岛状皮瓣2例。本法不需吻合血管、操作简单、安全、成活率高。
Since June 1983, seven kinds of neurovascular pedicled island flaps have been applied for thumb reconstruction in 14 cases with satisfied results. The donor flaps were from dorsum of index fillger in 4 cases. from radial aspect of index in 3 cases, from both the dorsum and the radial aspect of index in 2 cases, from the dorsum and radial aspect of the index finger and the radial aspect of long finger in 2 cases, from the ulnar aspect of the index and the radial aspect of long finger in 2 cases, and from the radial aspect of forearm in 1 case. In other case, the thumb was reconstructed by an osteocutaneous flap arising from radial aspect of forearm. The procedures are faster, simpler and safer than the microsurgical flap transfer; the contour and function are better than those of traditional tube-pedicle graft.
