拇、手指缺损是较为常见的严重手部创伤，对患者生理和心理都有较大影响。随着对解剖学认识的不断深入和显微外科技术的发展，通过趾-指血管吻合进行拇、手指再造逐渐成为手外科医生的主流选择。其具有减少创伤、简化流程、节约手术时间及手术设计灵活的优点，具有理想的功能、感觉及美学预后。但术式繁多，未形成规范化临床指引。本文总结相关文献，以期进一步推广吻合趾-指血管再造拇、手指的方式，为制定更完善的手术策略提供参考。“,”Objective:The defects of thumbs and fingers are common and devastating in hand injuries, which make both physical and mental affecets to the patients. With deeper understanding in anatomy and faster development in micro-surgical techniques, the reconstruction of thumbs and fingers from toes with vascular anastomosis became a mainstream in the hand surgeons. These procedures were acclaimed as methods with desired outcome in function, sensation and aesthetics. However, a multitude of modification is responsible for the lack of normalization. We expects this review would provide a reference in fulfilling the surgical strategies.