指端缺损的治疗进展

摘要

Fingertip defect is a common illness. The therapeutic principles are keeping the finger length, plump finger belly and good feeling as possible. Common therapeutic plans include amputation, conservative treatment, replantation, surgical flaps, reconstruction, nail-bed expansion and various modified surgery solutions. Characteristics of microcirculation and histological basis of fingernail regeneration are major theoretical and clinical basis. Microsurgery treatment has good outcomes,however,it has higher technical requirements,bigger risk-sand donor damage at the same time. Here is to make a review on the treatment progress in recent years.%指端缺损是常见病,治疗要求尽量保持手指长度,指腹饱满,感觉良好.治疗方法常用的有截骨手指缩短,保守治疗,末节断指再植,各种皮瓣移植,指尖再造,甲床扩大术以及衍生的各种改良手术方法等.手指微循环特征和指甲再生的组织学基础是各种术式的主要理论和临床依据.采用显微外科技术治疗效果良好,但技术要求高,风险大,存在理论和供区损害.现将近年来治疗方法的研究进展予以综述.