断层甲床移植在修复手指甲床缺损中的应用

Treatment of nail bed defect with toe fault nail bed free grafting

目的：探讨断层甲床移植修复甲床缺损的效果。方法：手指甲床缺损20例25指，采用足趾断层甲床游离移植修复。结果：随访4～10个月。移植甲床均成活，25指优良21指，优良率84％；可2指8％；差2例占8％。供区趾甲生长平整，无畸形，附着好，无压痛，与健侧比较外观功能无差异。结论：断层甲床游离移植修复手指甲床缺损具有操作简便、疗效可靠，供区损伤小等优点，是一种有效的修复甲床缺损的方法。

Objective：To study the effects of the treatment of the nail bed defect with fault nail bed free grafting. Methods：20 patients25 digit with the nail bed defect were treated with fault nail bed free grafting. Results：The average follow up time was 6 - 10 months）. All grafting nail bed were survived, According to the nail revive criteria of Li ,21 digit nail achieved excellent, rating 84% ,fair in 2 digit nail, rating 8 % , while 2 digit had poor results, rating 8 %. Conclusion：Treatment of the nail bed defect with fault nail bed free grafting had the advantages of less trauma, simplicity of operator and treatment effect reliable. It might be an effective method for treatment of the nail bed defect.