甲板-内层组织复合体的临床研究

摘要

Objective To discuss the efficiency of the treatment of injured nail-beds using the complex of nail plate and nail plate inner organization. Methods A retrospective review of three groups of patients who sustained almost the same extent injuries of the nail-bed was performed. Different methods were carried out and the results were compared. Results All of the nail-beds survived and no infection occured after surgery. We have followed up the cases for 3 to 12 months. The experimental group which received nail plate reattachment combining with intradermal suturing achieved normal nail growth and the overall excellent rate was 93.8％, which was higher than that of the control group 1(66.7％) who were treated with artificial nail plate replacement and combining with intradermal suturing, and the control group was 2 (60.1％) who were merely treated with intradermal suturing. Conclusion Application of the complex of nail plate and nail plate inner organization for repair of nail-bed injury is a simple efficient method. The outcome of the treatment is satisfactory. So it is one of the suitable ways to repair the digital nail-bed injury, and is a new treatment, it is worth of clinical application.%目的 探讨应用甲板-内层组织复合体治疗手指甲床损伤的临床疗效.方法 通过回顾性总结分析三组甲床损伤病例(损伤类型相近),采用不同手术方法进行治疗,将三组治疗效果进行多方面的比较.结果 所有病例甲床均Ⅰ期愈合,无感染病例,术后随访3～12个月,采用连续皮内缝合结合甲板回植法治疗组(实验组)优良率93.8％,明显高于连续皮内缝合结合甲板替代物回植组(对照组1)66.7％,以及单纯连续皮内缝合法治疗组(对照组2)60.1％.结论 甲板-内层组织复合体应用于甲床损伤治疗,效果良好,而且取材简单,损伤小,是一种新的治疗方法,值得临床各级医疗单位推广应用.