自体甲床移植在手外伤甲床缺损中的应用

Treatment of the traumatic nail bed defects by the autologous nail bed grafting

目的 探讨自体甲床移植修复手外伤后甲床部分缺损的临床疗效。方法2012年10月-2013年10月。采用自体超薄甲床移植修复外伤后手指甲床缺损共11例。结果术后10例甲床全部成活，1例边缘部分坏死，经换药后二期愈合。术后随访3～12个月，甲床质地优良，外观平整，指甲生长顺利。参照Zook的评定标准，本组优10例，良1例。结论自体甲床移植操作简单，手术创伤较小，外形接近原生指甲．值得临床推广。

Objective To explore the clinical effect on traumatic nail bed defects. Methods 11 cases with traumatic finger nail bed defects were repaired by autologous ultrathin nail bed grafting from October 2012 to 2013 October. Results Among 11 cases, 10 cases survived completely, the edge of one nail bed necrosis occurred but recovered by external application of drugs. The postoperative follow-up period was 3 to 12 months, the texture of nail bed was fine, appearance was smooth, nail growth was smoothly, according to the Zook criteria the results were graded as excellent in 10 cases and good in 1 case. Conclusion This method is simple with minimal trauma and shape near native nail, it is worth of clinical use.