摘要
目的探讨人工真皮修复手指甲床部分缺损的临床效果。方法2013年5月至2016年9月,对16例21指伴有指骨外露的部分甲床缺损病例,清创后一期应用人工真皮修复,未行断层甲床或自体皮片移植。术后3d更换外层敷料,每隔3~5d换药1次,术后2~3周创面形成粉红色的类真皮样组织,创面自然上皮化。结果本组病例经人工真皮修复后全部成活。术后甲床缺损指骨外露创面自然上皮化,愈合良好。术后随访5~16个月,平均8.2个月,指甲生长平滑光整,外形匀称,坚韧,甲体与甲床附着良好,指端无疼痛及感觉过敏等症状。疗效评定结果:优18指,良3指。患者对术后手指外观的满意度:非常满意13例,满意3例。结论应用人工真皮修复手指甲床部分缺损,操作简单,损伤小,临床效果良好。
Objective To explore the clinical effect of artificial dermis on partial nail bed defects.Methods From May 2013 to September 2016, 16 cases of 21 fingers with partial nail bed defect and bone exposure received primary repair with artificial dermis after debridement. Then the outer dressing was changed 3 days after the operation, and the dressing was changed once every 3 to 5 days. The pink dermis like tissue was placed on the wound surface 2 to 3 weeks after the operation. The wound surface was naturally epithelialized.Results All the fingers were survived after artificial dermis repair, and the fingertip surface of nail bed defect was epithelialized naturally and healed well. Postoperative follow-up was 5 to 16 months, with an average of 8.2 months. The growth of fingernails was smooth with symmetrical appearance, natural toughness, good adhesion between the nail body and the nail bed, and no pain or hyperesthesia at the tip. Results of curative effect evaluation showed excellent in 18 fingers, good in 3 fingers. Results of patient′s satisfaction with postoperative finger appearance showed very satisfactory in 13 cases and satisfactory in 3 cases.Conclusions The method of repairing partial defect of nail bed using artificial dermis is simple with minimal damage and a good clinical effect.
作者
刘少华
马战备
于鹤童
马良
梁越闯
吴羽
李冬月
南宠
赵欢欢
任晓伟
霍烈
Liu Shaohua;Ma Zhanbei;Yu Hetong;Ma Liang;Liang Yuechuang;Wu Yu;Li Dongyue;Nan Chong;Zhao Huanhuan;Ren Xiaowei;Huo Lie(Fouth Department of Orthopedics,First Center Hospital of Baoding City,Baoding 071000,China)
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2018年第11期955-958,共4页
Chinese Journal of Plastic Surgery
关键词
甲床
缺损
人工真皮
Nail bed
Defect
Artificial dermis
