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游离皮瓣修复指尖缺损的治疗进展

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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。
Progress in the treatment of free flap for repairing fingertip defects
Fingertip injuries often involve the loss of skin,soft tissue,and sometimes even phalange,seri-ously affecting the patient's hand function and appearance.Therefore,fingertip reconstruction requires both function-al 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.

Fingertip defectSurgical flapReconstructionMicrosurgical surgery

吴国良、李学渊、陈宏

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宁波大学医学院,浙江 宁波 315211

宁波市第六医院手外科,浙江 宁波 315040

指尖缺损 外科皮瓣 修复 显微外科手术

宁波市重大科技任务攻关项目宁波市医疗卫生高端团队重大攻坚项目

2022Z1462022020506

2024

中华显微外科杂志
中华医学会

中华显微外科杂志

北大核心
影响因子:2.321
ISSN:1001-2036
年,卷(期):2024.47(3)
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