摘要目的 探讨逆行第1跖底动脉逆行岛状皮瓣修复第1、2趾底创面的方法和临床效果.方法 采用逆行第1跖底动脉岛状皮瓣修复第1趾趾腹(腓侧)及第2趾胫侧创面皮肤软组织缺损创面,临床应用12例,皮瓣面积为2 cm×3 cm～4cm×6 cm,其中急诊修复外伤性创面5例,修复游离足拇趾腓侧皮瓣供区5例,游离第2趾胫侧皮瓣供区创面2例.结果 术后皮瓣全部成活,随访3 ～35个月,皮瓣质地良好,外形不臃肿,供区愈合良好,且无明显并发症,耐磨性良好,患者满意.结论 逆行第1跖底动脉岛状皮瓣皮瓣血运可靠,皮肤质地良好,手术切取安全,是修复第1趾趾腹(腓侧)及第2趾胫侧创面的较理想方法,值得临床广泛应用.

abstractsObjective To investigate the clinical effect of reversed plantar metatarsal artery island flap in repairing the plantar soft tissue defects at the first and second toes.Methods 12 cases with plantar soft tissue defects at the first and second toes were repaired by reversed plantar metatarsal artery island flap which size ranged from 2 cm ×3 cm to 4 cm ×6 cm,including 5 cases at emergency,5 cases with the donor site defects at great toes after free lateral pulp flap transfer,and 2 cases with the donor site defects at second toes after free medial pulp flap transfer.Results All the reversed plantar metatarsal artery island flaps at the first and second toes survived uneventfully with desirable appearance and sensation over a 3-35 month follow-up.No complication happened at the donor sites.Conclusions It is an reliable method to adopt the reversed plantar metatarsal artery island flap for the plantar soft tissue defects at the first and second toes,with the advantages of stable blood vessels,high survival rate,good skin texture and few complications.