摘要
目的 探讨利用自体真皮结合伤指剩余甲床组织片移植治疗甲床缺损的方法及疗效.方法 对78例88指甲床缺损40％～90％,且均有骨外露的患者,利用自体真皮结合伤指的剩余甲床或切取自身足趾甲床结合移植于甲床缺损处,打包加压包扎,术后2周拆线,观察治疗效果.结果 本组共78例88指,术后自体真皮结合甲床组织片移植均Ⅰ期成活,2例部分坏死,经换药后愈合.新生甲板经3～4个月,覆盖修复甲床.随访6～12个月,88指中甲床恢复达优良86指（占97.7％）,差2指（占2.2％）.结论 采用自体真皮结合甲床组织片移植修复甲床缺损,方法简单,取材方便,无甲分离及指甲质脆等问题,效果理想,易于推广应用.
Objective To discuss the effect of autologous dermis combined with nail bed tissue patch on repairing nail bed defect. Methods About 40% to 90% of 88 finger nail bed defects （78 cases） were with bone exposure. The autologous dermis combined with residuary finger nail bed or nail bed tissue harvested from toe were grafted to repair the defects, pressure dressing was performed and the stitches were taken out at 2 weeks postoperatively and then therapeutic effects were observed. Results The grafted patches in 88 fingers nail bed tissue of 78 cases survived primarily except for 2 cases with partial necrosis which were healed after dressing. The nail bed was recovered by regenerate nail plate at 3 to 4 months. Postoperative follow-up was made for 6 to 12 months, excellent effect were 86 of 88 nail beds （97.7%）. Conclusion Autologous dermis combined with graft of nail bed tissue patch is simple method to repair the nail bed defects with these advantages, like convenient harvest of nail bed tissue and without onycholysis and brittle nail. It is easy to spread.
出处
《中国美容整形外科杂志》
CAS
2015年第1期27-29,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
甲床缺损
自体真皮结合指(趾)甲床组织片
移植
Nail bed defect
Autologous dermis combined with nail bed tissue patch
Grafting
