断层甲床移植在修复手指甲床部分缺损中的疗效  

Application of split nail bed transplantation on partial nail bed defect

作　　者：王瑞[1] 苗平[1] 葛华平[1] 夏既柏 严纪辉 侯召来 刘会军[1] 

机构地区：[1]中国人民解放军第464医院手足显微外科,天津300381

出　　处：《实用手外科杂志》2016年第2期169-170,200,共3页Journal of Practical Hand Surgery

摘　　要：目的 探讨急诊断层甲床移植在修复手指甲床部分缺损中的临床疗效.方法 对2009年2月-2014年8月收治的23例（23指）甲床缺损患者进行断层甲床移植手术,并进行术后随访.结果 术后23例手指断层甲床顺利成活,创面Ⅰ期愈合,23例获随访,随访时间5～18个月,平均8个月,指甲于术后3～4个月全部再生,末次随访时,根据指甲再生疗效评价标准评定,优12指,良7指,可3指,差1指.优良率为82％.结论 急诊采用断层甲床移植修复甲床部分缺损,手术操作简便,并能获得较好疗效.Objective To investigate the effctiveness of split nail transpalntation on nail bed partial defect. Methods 23 cases （23 fingers）patients with nail bed partial defect were treated by split nail bed grafting from May 2008 to August 2013, and were followed up after operation. Results The split nail survived in 23 cases（23 fingers）, and primary healing of wound was obtained. Twenty-three patients were followed up 5-18 months （mean,8 months）. At 3~4 months after operation. According to effectiveness standard for fingernail regeneration, the results were excellent in 12 fingers, good in 7 fingers, fair in 3 fingers, poor in 1 finger, with an excellent and good rate of 82%. Conclusion It is a simple and effective method to use split nail for emergency treatment of nail bed partial defect.

关 键 词：甲床缺损 断层甲床 创面修复 

分 类 号：R658.2[医药卫生—外科学]