摘要
目的 对于指尖损伤的修复提出三种不同的修复方法。方法 对 ４８例指尖损伤的病例分别采用断指再植、原位帽式缝合、第一掌骨背逆行筋膜岛状皮瓣及指侧方逆行岛状皮瓣的方法进行修复。结果 再植２０例 ２３指，成活２１指，坏死 ２指；帽式缝合 ８例 １０指，全部成活；逆行岛状皮瓣２０例全部成活。结论 对Ｉ、Ⅱ、 Ⅲ型应积极试行再植；对于血管条件差或过于细小的损伤，应行帽式缝合；对于远端缺失的病例，应用逆行岛状皮瓣修复，尽可能地保留手指的长度。
Objective Provide three different kinds of method to repair fingertip injury. Methods Various methods were applied to 48 patients of fingertip injury, including replantation, orthotopic cap close, reverse fasciocutaneous island flap of the first metacarpal, finger-side reverse island flap. Results Among the replantation of 23 fingers, 21 fingers survived. All of cap close fingers and reverse island flaps survived. Conclusion I, II and Ⅲ kinds can be replanted. Blood vessels injury severely or very small may use cap close. Distal defect may be repaired by reverse island flap.
