摘要
目的探讨应用三种不同覆盖术式治疗手指甲床损伤的临床效果。方法回顾性分析2010年1月-2018年10月收治的三组甲床损伤病例(损伤类型相近),采用不同覆盖术式进行治疗,并将三组治疗效果进行多方面的比较。结果所有病例甲床均一期愈合,无感染病例,术后随访6~12个月,采用甲板原位回植组(观察组)优良率92.5%,明显高于甲板替代物覆盖组(对照组1)70%,以及凡士林油纱覆盖组(对照组2)62.5%。结论甲板原位回植在甲床修复治疗中有明显优势,是一种较为理想可行、实用的方法;在原甲板缺失的情况下,甲板替代物覆盖甲床修复创面仍有积极意义。
Objective To discuss the efficiency of the treatment of three different covering surgical methods on nail-beds injury.Methods A retrospective review of three groups of patients who sustained almost the same extent injuries of the nail-bed was performed,different covering surgical methods were carried out and the results were compared.Results All of the nail-beds survived and no infection occured after surgery.We followed up the cases for 6 to 12 months.The experimental group which received nail plate replantation achieved normal nail growth and the overall excellent rate was 92.5%,which was higher than that of the control group 1(70%)who were treated with artificial nail plate replacement,and the control group 2(62.5%)who were merely treated with vaseline gauze covering.Conclusion Nail plate replantation have obvious advantages on the treatment of nail-beds injury,that is a simple efficient and practical method.In original nail plate missing case,artificial nail plate applied to cover nail-beds injury still has positive significance.
作者
王瑞
苗平
孙莹
葛华平
夏既柏
严纪辉
胡晓美
张艳军
WANG Rui;MIAO Ping;SUN Ying(Department Hand and Foot Microsurgery,Tianjin Rehabilitation and Recuperation Center of PLA,Tianjin,300381,China)
出处
《实用手外科杂志》
2020年第4期376-380,390,共6页
Journal of Practical Hand Surgery
关键词
甲床损伤
甲床修复
甲板回植
外科手术
Nail bed injury
Nail bed repair
Nail plate replantation
Surgery operation
