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

摘要： 【摘要】 目的 比较显微修复及普通修复方法治疗严重甲床损伤的疗效。方法〓我院2010年6月至2014年3月收治严重甲床损伤120例148指,分别采用显微修复(60例82指)和普通修复(60例66指)治疗,术后对甲再生、并发症发生情况进行疗效分析。结果〓术后随访2~12月,显微修复组52例66指I期愈合,8例16指出现并发症,其中1例1指甲床严重坏死;普通修复组32例33指I期愈合,28例33指出现并发症,其中8例10指甲床严重坏死。甲再生显微修复组优66指,良11指,可4指,差1指,优良率94%;普通修复组优24指,良14指,可18指,差10指,优良率57.6%。结论〓治疗严重甲床组织损伤,显微修复具有较高的甲再生优良率和较低的并发症发生率,优于普通修复。

关键词: 显微, 修复, 甲床, 损伤, 治疗