[摘要]目的：观察取足拇趾复合组织瓣修饰性再造指端部分缺损的临床疗效。方法：选取2018年2月-2023年2月笔者医院收治的指端部分缺损且进行取足拇趾复合组织瓣修饰性再造治疗的83例(104指)患者作为研究对象，采用取足拇趾复合组织瓣修饰性再造的方法，即利用带部分足拇趾甲骨质的拇趾腓侧复合组织瓣来修复手指的残缺部分，观察手术效果、再造指的外观与功能、供区瘢痕及术后并发症发生情况。结果：按照中华医学会手外科学会上肢部分功能评定试用标准，术后优71例，良12例。术后随访6个月，所有患者指端外形饱满、皮肤血液循环良好，手指屈伸和伸展功能不受限，指甲平整无畸形，感觉功能正常。患者皮瓣两点辨别觉范围5.3～8.2 mm，供区皮肤均饱满红润且行走功能无障碍。出现并发症共4例，发生率为4.82%。结论：取足拇趾复合组织瓣修饰性再造指端部分缺损的临床疗效显著，能够改善患者的手指功能和外观，值得临床推广应用。

    [关键词]足拇趾；复合组织瓣；修饰性再造；指端缺损；临床疗效

    [中图分类号]R622" " [文献标志码]A" " [文章编号]1008-6455(2025)01-0069-04

    Clinical Efficacy of Modified Reconstruction of Partial Fingertip Defects with Composite Tissue Flap of Great Toe

    LIU Qisheng， YANG Hao， WANG Weiguo

    ( Department of Hand and Foot Surgery， Taizhou Fourth People's Hospital， Taizhou 225399， Jiangsu， China )

    Abstract： Objective" To observe the clinical efficacy of modified reconstruction of partial fingertip defects with composite tissue flap of great toe. Methods" 83 patients with partial fingertip defects (104 fingers) who were treated with modified reconstruction of composite tissue flap of great toe in the author's hospital from February 2018 to February 2023 were enrolled as the research subjects. The repair method of modified reconstruction of composite tissue flap of great toe was used ......