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目的 讨论以血管神经蒂V-Y皮瓣修复手指末节Ⅱ区皮肤缺损的操作力法、治疗效果及临床意义.方法 自2014年5月至2016年8月,以血管神经蒂V-Y皮瓣修复12例12手指末节Ⅱ区皮肤缺损,患者均伴有肌腱或骨骼外露以及甲基质残留.切取皮瓣面积2.0 cm× 2.0 cm～2.0 cm× 2.5 cm,皮瓣供区直接缝合.结果 术后12例12手指移植皮瓣完全存活.随访10例10指,失访2例.随访时间6～12个月,术后皮瓣外观满意,两点分辨觉为4～6 mm.结论 血管神经蒂V-Y皮瓣修复伴有肌腱骨骼外露手指末节Ⅱ区皮肤缺损足简单可靠的方法,能兼顾耐用性、外观及感觉恢复,且不产生供区伤害.具有良好的安全性和普及性.“,”Objective To discuss the operation method,treatment effect and clinical significance of neurovascular pedicle V-Y flap for repair of distal finger soft tissue defect in Ⅱ area.Methods From May 2014 to August 2016,12 cases (12 fingers) of distal finger soft tissue defect in Ⅱ area were treated with neurovascular pedicle V-Y flap.All the wounds were accompanied by tendon or bone exposure and onychostroma residual.The flap area ranged from 2.0 cm×2.0 cm to 2.0 cm×2.5 cm.The donor site was closed directly.Results All the 12 flaps of 12 fingers survived uneventfully.Ten cases were follow-up for 6 to 12 months,and 2 cases were lost.Postoperatively the flaps had satisfactory appearance with the two-point discrimination ranging from 4 to 6 mm.Conclusion The neurovascular pedicle V-Y flap is a reliable and safe way to cover the distal finger soft tissue defect in Ⅱ area with tendon or bone exposure,which has the advantages of durability,safety and popularity due to the appearance and sensory recovery and no damage to donor sites.