CAJ | 학술논문

目的：探讨急诊应用拇趾断层甲床游离移植治疗手指甲床缺损的疗效。方法：回顾性分析2007年1月-2011年3月期间治疗的外伤引起指甲床部分缺损15例（15指）患者的临床资料，均急诊采用同侧拇趾断层甲床游离移植方法治疗，随访时间6～24个月，平均12个月。结果：术后15例均一期全部成活，3～6个月后甲板生长，外观佳。按照吕桂欣等对指甲损伤的修复进行疗效评定，优8例，良5例，差2例，优良率达87％。患者对术后治疗效果较为满意。结论：急诊拇趾甲床断层游离移植修复手指甲床缺损是一种比较简单、实用、有效的术式，且供区隐蔽，适合在基层推广应用。
목적：탐토급진응용무지단층갑상유리이식치료수지갑상결손적료효。방법：회고성분석2007년1월-2011년3월기간치료적외상인기지갑상부분결손15례（15지）환자적림상자료，균급진채용동측무지단층갑상유리이식방법치료，수방시간6～24개월，평균12개월。결과：술후15례균일기전부성활，3～6개월후갑판생장，외관가。안조려계흔등대지갑손상적수복진행료효평정，우8례，량5례，차2례，우량솔체87％。환자대술후치료효과교위만의。결론：급진무지갑상단층유리이식수복수지갑상결손시일충비교간단、실용、유효적술식，차공구은폐，괄합재기층추엄응용。
Objective :To explore the effect of the split-thickness hallex nail matrix free grafting in emergency in trea-ting finger nail matrix segmental defect .Methods :The clinical data of 15 patients with finger nail matrix segmental de-fect caused by trauma were analyzed retrospectively from January 2007 to March 2011 .We applied the technology of ip-silateral hallex split-thickness nail matrix ,free grafting in emergency in treating the finger nail matrix segmental defect and followed up for the period of 6months to 24 months ,average 12 months .Excellent and good rates were 87% in Ex-cellent 8 fingers ,good 5 fingers and poor 2 fingers .Results:The nail beds of 15 cases were all survived in the first stage after the operations ,and their nail plates grew up with good shapes after treatment 3~6 months .Conclusion:The treat-ment of finger nail matrix segmental defect by the split-thickness hallex nail matrix free grafting in emergency is sim-ple ,practical ,effective and donorsite concealment .It adapts to popularizing at Primary Hospital .