关键词: 显微, 修复, 甲床, 损伤, 治疗

Abstract: 【Abstract】〓Objective〓To compare the clinical outcomes of severe nail bed injury treated with microsurgical repair and regular repair procedures. Methods〓Patients with severe nail bed injuries (120 cases, 148 fingers) in our hospital from June 2010 to March 2014 were divided into two groups. Patients in group A (60 cases, 82 fingers) and group B (60 cases, 66 fingers) were treated with microsurgical repair and regular repair,respectively. The postoperative clinical outcomes in terms of nail regeneration and complications were analyzed. Results〓The follow up period ranged from two to twelve months. In group A, 52 cases (66 fingers) healed primarily, while complications occurred in 8 cases (16 fingers), of which 1 case (1 finger) developed into nail bed necrosis. In group B, 32 cases (33 fingers) healed primarily, while complications occurred in 28 cases (33 fingers), of which 8 cases (10 fingers) developed into nail bed necrosis. According to the evaluation criteria of nail bed regeneration, 66 fingers were graded as excellent , 11 fingers as good, 4 fingers as fair, 1 finger as bad in group A. Twenty-four fingers were graded as excellent, 14 fingers as good,18 fingers as fair, 10 fingers as bad. Conclusion〓Microsurgical repair,with better nail regeneration and lower incidence of complications, is superior to regular repair for treating severe nail bed injury.

Key words: Microsurgical, Repair, Nail bed, Injury, Treatment