手指指甲缺损的单全趾甲复合组织移植再造术

An elaborate operative approach about nali nail unit reconstruction by vascularized composite toe nail tissue transplantation

目的对手指指甲缺损或畸形进行重建,再造理想的指甲。方法以携带最小量组织进行切取包括趾甲、甲下皮、甲周膜在内的复合组织及其营养动脉、静脉和神经,与受区进行趾-指动脉、静脉、神经的吻合,完成单一全趾甲复合组织移植再造指甲。结果再造9例13指,术后均顺利成活,外形满意,接近原手指指甲的效果,供区的外观和功能无明显影响。结论应用显微外科技术,可使手指甲再造等手外科手术做的更精细,治疗效果更理想。

Objective To elaboratel reconstruct finger nail unit in cases with nail defect or deformities. Methods By excision a composite nail,nail bed.hyponychium,and perionychium carrying with minimum tissue,to reconstruct a finger nail unit by vascularized finger-teo artery,vein and nerve. Results Total 9 cases with 13 nail were treated successfully with this approach,the outline of nails were more excellent. Conclusion By an elaborate microsurgical operation,an more excellent curative effect in finger nail unit reconstruction is gain.