CAJ | 학술논문

目的:比较第2足趾再造手指指甲床扩大术两种方法临床疗效.方法:将手指缺损施行第2足趾再造指术的20例患者,分为两组,分别采用部分甲皱襞直接切除术(A组)或Adani矩形推进皮瓣术(B组),均扩大指甲长度3 mm.结果:A组手术时间平均7.5 min,B组平均15 min;术后12个月时随访,甲周皮肤均无坏死,甲床扩大长度两组均数2.7 mm.两组患者自我满意度评分无差异.结论:足趾再造指甲床扩大术的两种方法均手术简单,效果满意,甲皱襞直接切除法具有手术时间短、操作简便的优势.
목적:비교제2족지재조수지지갑상확대술량충방법림상료효.방법:장수지결손시행제2족지재조지술적20례환자,분위량조,분별채용부분갑추벽직접절제술(A조)혹Adani구형추진피판술(B조),균확대지갑장도3 mm.결과:A조수술시간평균7.5 min,B조평균15 min;술후12개월시수방,갑주피부균무배사,갑상확대장도량조균수2.7 mm.량조환자자아만의도평분무차이.결론:족지재조지갑상확대술적량충방법균수술간단,효과만의,갑추벽직접절제법구유수술시간단、조작간편적우세.
Objective To compare the clinical outcomes of two kinds of nail bed expanding technique for the new aesthetic modifies in second toe-to-finger transfer surgery. Methods Twenty cases suffered from fin? rectangular advanced flap was performed in the second 10 cases(B group). The expanded nails were of the same length:3mm. Results The operation time in A group was an average of 7.5 minutes; in B group average 15 minutes. Twelve months postoperative follow-up showed no skin necrosis around the nail was found in both groups; a bed expand length of 2.7 mm in both groups; The self satisfaction score (MHQ) of A group was average of 12.1 of B group average of 11.8. The differences between the two groups were not statistically significant. Conclusion Both kinds of nail lengthening in second toe-to-finger transfer surgery are simply and effective;the results are satisfactory. The eponychium resection is superior to the other kind in shorter operative time and easier and simpler procedure.