改良“V-Y”推进皮瓣结合甲床延长修复指尖缺损

摘要

目的：探讨改良后“V-Y”推进皮瓣结合甲床延长修复指尖缺损的临床应用效果。方法2012年2月—2014年2月，应用改良“V-Y”推进皮瓣结合甲上皮远端切除2.0~4.0 mm治疗46例指尖缺损。结果术后随访2~9个月，平均5个月，46例皮瓣全部成活，指甲生长良好，指甲增加2.0~4.0 mm，外形满意。结论改良“V-Y”推进皮瓣结合甲床延长术修复指尖缺损是一种操作简单、实用、效果较好的手术方法。%Objective To explored the clinical effect of repairing fingertip defect by modified "V-Y"advance flap combined with nailbed extending. Methods From February 2012 to February 2014, 46 cases with fingertip defect were treated by modified"V-Y"advanced flaps combined with cutting of 2.0~4.0 mm on distal of nail. Results Postoperative follow-up duration ranged from 2 to 9 months, with an average of 5 months, all 46 flaps survived. The nail grew well, and extended 2.0~4.0 mm, abtained satisfactory appearance. Conclusion It is a good operation method to treat fingertip defect by modified "V-Y" advance flap combined with nailbed extending, for its simple and practical operation.