甲床回植并“井”字加压缝合法治疗手甲板撕脱伤效果观察

Treatment of hand deck wrinkle injury by nail bed retention and ＂well＂ pressure suture

目的探讨甲床回植并“井”字加压缝合法治疗甲床撕脱伤的疗效.方法选择2015年2月至2016年3月我院收治的32例（32指）甲床缺损患者作为研究对象.所有患者均采用甲床回植并“井”字加压缝合法治疗,观察患者治疗后手术效果.结果术后随访1-8个月,1例因自行拆包导致甲板坏死,1例因沾水导致甲床感染,其余30例均愈合,拆线后原甲板无脱落.结论甲床回植及“井”字缝合法在治疗手甲板撕脱急性外伤,术后恢复良好,值得临床推广.

Objective To explore the curative effect of nail bed implantation and ＂well＂ pressure suture in the treatment of nail bed avulsion. Methods From February 2015 to March 2016, 32 cases of patients （32 fingers） with nail bed avulsion in our hospital were selected as research objects. All patients were treated with nail bed implantation and ＂well＂ pressure suture, the surgical effect of the patients after treatment was observed. Results After 1 to 8 months follow up, 1 case of nail plate necrosis caused by self-unpacking, 1 case of nail bed infection caused by watering, the rest 30 cases of nail plates were survived and healed, there was no original deck loss after the stitches. Conclusion The operation of nail bed implantation and ＂well＂ pressure suture, the postoperative recovery is good, which is worthy of clinical application.