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目的 探讨第2足趾趾甲皮瓣再造手指指甲甲床的疗效.方法 2005年6月至2013年11月,我们收治指甲甲床缺损或坏死患者16例16指.伴有中末节皮肤软组织缺损患指12例,采用第2足趾趾甲皮瓣游离移植修复;伴有皮肤软组织缺损者,采用携带第2足趾皮肤软组织的趾甲皮瓣游离移植修复,吻合血管神经,重建感觉血运.结果 术后趾甲皮瓣全部存活,随访6 ～ 36个月,手指屈伸功能满意,指腹两点分辨觉为4～6mm,指甲外观满意.结论 应用第2足趾趾甲皮瓣再造手指指甲甲床疗效满意,可最大限度地恢复手指外观以及功能.“,”Objective To evaluate the treatment outcomes of second toe nail flap transfer for reconstruction of nail bed defects in the fingers.Methods From June 2005 to November 2013,nail bed defect or necrosis of 16 fingers in 16 patients were treated.Among them 12 patients had skin and soft tissue defects of the distal and middle phalanx as well.The nail bed defect was repaired with free transplantation of vascularized nail flap from the second toe.For cases with additional soft tissue defects,second toe wrap-around flap along with dorsalis pedis flap was transferred with vascular anastomosis and nerve coaptation to restore blood supply and sensation.Results Postoperatively all the nail flaps and skin flaps survived.The patients were follow-up for 6 to 36 months.Finger flexion and extension function was satisfactory.Two-point discrimination at the finger pulps ranged from 4 to 6 mm.Appearance of the nails was satisfactory.Conclusion Vascularized second toe nail flap transfer is an effective method for reconstruction of finger nail bed defects.It can maximize the restoration of finger appearance and function.