皮能快愈敷料治疗甲床缺损的临床应用
发布时间：2018-08-13 15:34
【摘要】：目的1分析探讨分别运用皮能快愈敷料和短缩指骨残端修整修复甲床缺损的治疗特点和效果。2通过对以上两种不同手术方法修复甲床缺损的疗效的比较,进一步探讨甲床缺损的修复与重建的重要性,指导临床选择合理手术方式。方法选取2012年1月-2014年11月期间60例符合纳排标准的甲床缺损患者,其中30例患者予皮能快愈敷料修复,30例患者予短缩指骨残端修整修复,术后随访3-6个月,分别对患者进行治疗后疗效评定。结果经过3-6个月的随访,对治疗患者从指甲再生疗效,手功能评分,术后疼痛视觉模拟评分法评定疗效,经统计学分析,运用皮能快愈敷料修复甲床缺损疗效均明显优于短缩指骨残端修整修复甲床缺损(P0.05,差别有显著统计学意义)。结论运用皮能快愈敷料修复甲床缺损,操作相对简单,其疗效明显优于短缩指骨残端修整,但对清创要求较高,治疗所需的费用相对较贵。临床可根据具体情况,选择合理术式。
[Abstract]:Objective 1 to analyze the therapeutic characteristics and effect of repairing nail bed defect with skin Neng Qaiyu dressing and short phalangeal stump dressing respectively. 2. To compare the curative effect of the two kinds of surgical methods above in repairing nail bed defect. To further explore the importance of nail bed defect repair and reconstruction to guide the clinical selection of reasonable surgical methods. Methods from January 2012 to November 2014, 60 patients with nail bed defect were selected. 30 of them were treated with skin fast healing dressing and 30 patients were repaired with short phalangeal defect. The follow-up period was 3 to 6 months. The patients were evaluated after treatment. Results after 3-6 months follow-up, the curative effect of nail regeneration, hand function score and postoperative pain visual analogue score were evaluated by statistical analysis. The curative effect of repairing nail bed defect with skin fast healing dressing was significantly better than that with short phalangeal stump (P0.05, significant difference). Conclusion it is relatively simple to use skin healing dressing to repair nail bed defect, its curative effect is better than that of short phalangeal stump dressing, but the debridement requirement is higher, and the cost of treatment is relatively expensive. According to the specific situation, reasonable operation can be selected clinically.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R658.2
，
本文编号：2181411
[Abstract]:Objective 1 to analyze the therapeutic characteristics and effect of repairing nail bed defect with skin Neng Qaiyu dressing and short phalangeal stump dressing respectively. 2. To compare the curative effect of the two kinds of surgical methods above in repairing nail bed defect. To further explore the importance of nail bed defect repair and reconstruction to guide the clinical selection of reasonable surgical methods. Methods from January 2012 to November 2014, 60 patients with nail bed defect were selected. 30 of them were treated with skin fast healing dressing and 30 patients were repaired with short phalangeal defect. The follow-up period was 3 to 6 months. The patients were evaluated after treatment. Results after 3-6 months follow-up, the curative effect of nail regeneration, hand function score and postoperative pain visual analogue score were evaluated by statistical analysis. The curative effect of repairing nail bed defect with skin fast healing dressing was significantly better than that with short phalangeal stump (P0.05, significant difference). Conclusion it is relatively simple to use skin healing dressing to repair nail bed defect, its curative effect is better than that of short phalangeal stump dressing, but the debridement requirement is higher, and the cost of treatment is relatively expensive. According to the specific situation, reasonable operation can be selected clinically.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R658.2
，
本文编号：2181411
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