Objective To summarize the clinical result of the use of radial dorsal of thumb neurocutaneous fascia pedicle flap for repairing the thumb pulp defect .Methods From May 2010 to January 2012,18 digital finger pulp soft tissue of thumb were repaird in our de-partment.The dorsal cutaneous nerve of thumb was coapted with the hurt finger's inherent nerve.Results Eighteen cases of flap survived completely,only 2 cases with pale skin flap after given heat preservation ,vasodilators and symptomatic treatment were gradually restored .After skin off,donor site healed naturally ,skin graft survived completely.Fifteen cases were followed up from 4 months to 18 months with fine tex-ture,not clumsy,good shape and the sensation with 2-PD was of 5~10mm.Conclusion The radial dorsal of thumb neurocutaneous fascia pedicle flap is a ideal method for the thumb pulp defect ,with good shape,constant anatomical position ,simple operation,small injury of donor site,and postoperative sensory recovery satisfaction .

<正>临床上手部皮肤缺损情况比较多见,皮瓣修复方法也较多,如临指、侧方、掌背皮瓣、腹部带蒂皮瓣、游离足拇趾腓侧皮瓣、游离小腿外侧皮瓣等,各有优缺点。而前臂穿支皮瓣是在传统皮瓣的基础上演变而来,该皮瓣是以前臂尺动脉肌间隙穿支为蒂,尺动脉肌间隙穿支发自尺动脉近中段,起始点距肱骨内上髁下方(9.2±0.2)cm,经指浅屈肌与