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目的:探索拇指再造的新术式。方法:采用吻合血管的n 背甲皮瓣移植联合带指神经血管蒂的岛状皮瓣移位，急诊延迟再造拇指。根据拇指残端情况，可选用中指尺侧或环指桡侧的岛状皮瓣。n 结果:再造拇指3例全部成活，外形与功能恢复均良好。结论:为急诊延迟再造拇指提供一种新方法，适用于拇指皮肤脱套伤及Ⅱ、Ⅲ度截指。“,”Objective:To introduce a new procedure for thumb reconstruction.Methods:Subacute primary thumb reconstruction was performed in 3 cases, by combined transfer of the wrap - around flap from the big toe and digital neurovascular island flap from the ulnar side of the middle finger or the radial side of the ring finger.Results:All the transplants survived. The appearance and function of the reconstructed thumbs were satisfactory.Conclusions:This procedure provides a new method for thumb reconstruction. The main indications are degloved injuries of the thumbs and Ⅱ~Ⅲ defect of the thumbs.