[摘要]目的：探析腓浅穿支皮瓣联合拇趾甲瓣修复手指缺损的效果及对患指外形和功能的影响。方法：回顾性分析病例资料选自笔者医院2023年4月-2024年4月收治的110例手指缺损患者，根据不同的手术方法分组，将行腓浅动脉穿支皮瓣联合拇趾甲瓣用于手指缺损修复术的58例患者(65指)纳入A组，将行传统手指缺损修复术的52例患者(60指)纳入B组。比较两组患者术后6个月时患指功能、患指外形、术后并发症发生情况及患者满意度[密歇根手功能简表(MHQ)]。结果：术后6个月时，A组相较B组患指功能活动度、力量和手使用情况上评分明显更高(P<0.05)，两组感觉测定评分比较差异无统计学意义(P>0.05)；A组相较B组在患指外形总优良率上明显更高(P<0.05)；A组相较B组在术后6个月内并发症总发生率上明显更低(P<0.05)；A组相较B组在MHQ量表手的总功能、日常生活能力、工作或学习、疼痛、外观、自我满意度评分上明显更高(P<0.05)。结论：腓浅动脉穿支皮瓣联合拇趾甲瓣用于手指缺损修复术可有效改善患指外形美观度，患指功能恢复情况好，术后并发症少，且患者满意度更高。此术式修复手指缺损的效果好，值得临床推广应用。

    [关键词]腓浅动脉穿支皮瓣；趾甲瓣；手指缺损；皮瓣移植；修复

    [中图分类号]R622" " [文献标志码]A" " [文章编号]1008-6455(2025)09-0060-04

    Evaluation of the Clinical Effect of Superficial Peroneal Artery Perforator Flap Combined with Hallux Toenail Flap for Finger Defect Reconstruction

    ZHANG Chao， LI Xianhe， WANG Xuesong

    ( Department of Hand Surgery， Sichuan Modern Hospital， Chengdu 610212， Sichuan， China )

    Abstract： Objective" To explore the effect of superficial peroneal artery perforator flap combined with hallux toenail flap for finger defect reconstruction and its influence on the reconstructed finger shape and function. Methods" Retrospective analysis was performed on case data of 110 patients with finger defects in the author's hospital from April 2023 to April 2024. According to different surgical methods ......