CAJ | 학술논문

目的探讨利用伤指剩余甲床微粒移植治疗甲床缺损.方法对16例18指甲床缺损的患者,片状切取伤指的剩余甲床,将其切成微粒状的均匀组织植于甲床缺损处,打包加压包扎,术后2周拆线.结果本组16例18指术后微粒甲床移植均Ⅰ期成活,其中2指中心部缺损遗留小部分指骨外露,经换药后愈合.术后随访时间为8～21个月,18指中达到优良16指(占88.9%),差2指(占11.1%).结论微粒甲床移植解决了甲床缺损的修复材料问题.方法简单,效果理想,易于推广.
목적 탐토이용상지잉여갑상미립이식치료갑상결손.방법 대16례18지갑상결손적환자,편상절취상지적잉여갑상,장기절성미립상적균균조직식우갑상결손처,타포가압포찰,술후2주탁선.결과 본조16례18지술후미립갑상이식균Ⅰ기성활,기중2지중심부결손유류소부분지골외로,경환약후유합.술후수방시간위8～21개월,18지중체도우량16지(점88.9%),차2지(점11.1%).결론 미립갑상이식해결료갑상결손적수복재료문제.방법간단,효과이상,역우추엄.
Objective To investigate the application of piece meal grafting of the residual nail bed to cover the defect of nail matrix. Methods Sixteen cases with 18 nail matrix defects were involved. A piece of the remaining nail bed from the injured finger was harvested and cut into small pieces. These nail bed pieces were evenly distributed and grafted to the area of defect. Pressure dressing was applied to the grafting area for 2 weeks and then removed along with stitch removal. Results All the nail bed grafts survived in the 18 fingers of 16 cases. Defect in the center of the nail matrix with phalanx exposure was seen in 2 fingers. This was healed after dressing change. The patients were followed up for a period of 8 to 21 months. Sixteen of the 18 fingers had good results (88.9%), while 2 fingers (11.1%) had poor results. Overall the patients were satisfactory with the appearance of their nails. Conclusion Piece meal grafting of the residual nail bed solved the problem of donor nail matrix material. It is a simple and reliable procedure that can be easily popularized.