断层甲床移植修复甲床缺损  

The therapy experience of repairing nail bed defect by fault nail bed graft

作　　者：贾赛雄[1] 龙海泉[1] 利春叶[1] 杨钦泰[1] 喻林波[1] 吴迪[1] 

机构地区：[1]深圳市宝安区人民医院上肢显微外科,广东深圳518101

出　　处：《实用手外科杂志》2016年第1期41-42,共2页Journal of Practical Hand Surgery

摘　　要：目的探讨自体断层甲床移植I期修复手指甲床缺损的疗效。方法2012年1月-2014年4月，收治甲床缺损患者25例31指，根据甲床缺损大小分两组，A组11指为甲床缺损〉5．0mm，但小于同指原正常甲床总面积的1／3，且存留甲床无明显损伤，切取同指未损伤部位的中厚断层甲片进行移植。B组20指为甲床缺损大于同指原正常甲床总面积的1／3，切取第1足趾的中厚断层甲片移植修复。结果25例31指移植甲床全部成活，3～4个月新指甲完全长出，A组优良率为100％，B组优良率为85．0％，两组总优良率90．3％。结论断层甲床移植术后患指修复效果满意，且手术简单易行，值得推广。Objective To evaluate the efficacy of primary repair of nail bed defect by fault nail bed graft. Methods From January 2012 to April 2014 there were 25 cases 31 fingers of nail bed defect, according to the size of the nail bed defect divided into two groups. In A group, having 11 fingers, the nail bed defect size were greater than 5ram but less than 1/3 of total area of the normal nail bed of the same finger and the retained nail bed had no obvious damage, and they were treated with fault nail bed grafting from the undamaged parts of the same finger. In B group, having 20 fingers, the nail bed defect size were greater than 1/3 of total area of the normal nail bed of the same finger, and they were treated with fault nail bed grafting from the first toe. Results All grafts in the 25 cases 31 fingers survived. In 3~4 months, the new nails grew completely. The excellent rate of A group was 100%, and the excellent rate of B group was 85.0%, and the total excellent rate of the two groups was 90.3%. Conclusion The effect of fault nail bed grafting is satisfactory, and the operation is simple, so it is worth popularization.

关 键 词：指甲 甲床缺损 甲床移植 

分 类 号：R658.2[医药卫生—外科学]