甲板-内层组织复合体的临床研究

Clinical research of the complex of nail plate and nail plate inner organization

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。

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.