第2足趾再造手指甲床扩大术两种方法对比  

Comparison of Two Kinds of Nail Bed Expanding Technique in Second Toe-to-finger Transfer Surgery

作　　者：赵建勇[1,2] 阚世廉[3] 张钟匀[2] 林淑芬[2] 白振霞[2] 

机构地区：[1]天津医科大学研究生院,天津300070 [2]河北省沧州中西医结合医院,沧州061001 [3]天津市天津医院,天津300210

出　　处：《中国中西医结合外科杂志》2013年第2期127-129,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:比较第2足趾再造手指指甲床扩大术两种方法临床疗效。方法:将手指缺损施行第2足趾再造指术的20例患者,分为两组,分别采用部分甲皱襞直接切除术(A组)或Adani矩形推进皮瓣术(B组),均扩大指甲长度3mm。结果:A组手术时间平均7.5min,B组平均15min;术后12个月时随访,甲周皮肤均无坏死,甲床扩大长度两组均数2.7mm。两组患者自我满意度评分无差异。结论:足趾再造指甲床扩大术的两种方法均手术简单,效果满意,甲皱襞直接切除法具有手术时间短、操作简便的优势。Objective To compare the clinical outcomes of two kinds of nail bed expanding technique for the new aesthetic modifies in second toe-to-finger transfer surgery. Methods Twenty cases suffered from fin-ger defected were treated by second toe-to-hand transfer surgery. They were divided into two groups; During the operation, 3 mm length eponychium was resected for the first 10 cases（A group） and the Adani rectangular advanced flap was performed in the second 10 casesCB group）. The expanded nails were of the same length： 3mm. Results The operation time in A group was an average of 7.5 minutes; in B group average 15 minutes. Twelve months postoperative follow-up showed no skin necrosis around the nail was found in both groups; a bed expand length of 2.7 mm in both groups; The self satisfaction score （MHQ） of A group was average of 12.1 of B group average of 11.8. The differences between the two groups were not statistically significant. Conclusion Both kinds of nail lengthening in second toe-to-finger transfer surgery are simply and effective; the results are satisfactory. The eponychium resection is superior to the other kind in shorter operative time and easier and simpler procedure.

关 键 词：指(趾)甲 指损伤 甲床扩大术 疗效比较 

分 类 号：R687.2[医药卫生—骨科学]