皮能快愈敷料治療甲床缺損的臨床應(yīng)用
發(fā)布時(shí)間：2018-08-13 15:34
【摘要】：目的1分析探討分別運(yùn)用皮能快愈敷料和短縮指骨殘端修整修復(fù)甲床缺損的治療特點(diǎn)和效果。2通過對(duì)以上兩種不同手術(shù)方法修復(fù)甲床缺損的療效的比較,進(jìn)一步探討甲床缺損的修復(fù)與重建的重要性,指導(dǎo)臨床選擇合理手術(shù)方式。方法選取2012年1月-2014年11月期間60例符合納排標(biāo)準(zhǔn)的甲床缺損患者,其中30例患者予皮能快愈敷料修復(fù),30例患者予短縮指骨殘端修整修復(fù),術(shù)后隨訪3-6個(gè)月,分別對(duì)患者進(jìn)行治療后療效評(píng)定。結(jié)果經(jīng)過3-6個(gè)月的隨訪,對(duì)治療患者從指甲再生療效,手功能評(píng)分,術(shù)后疼痛視覺模擬評(píng)分法評(píng)定療效,經(jīng)統(tǒng)計(jì)學(xué)分析,運(yùn)用皮能快愈敷料修復(fù)甲床缺損療效均明顯優(yōu)于短縮指骨殘端修整修復(fù)甲床缺損(P0.05,差別有顯著統(tǒng)計(jì)學(xué)意義)。結(jié)論運(yùn)用皮能快愈敷料修復(fù)甲床缺損,操作相對(duì)簡(jiǎn)單,其療效明顯優(yōu)于短縮指骨殘端修整,但對(duì)清創(chuàng)要求較高,治療所需的費(fèi)用相對(duì)較貴。臨床可根據(jù)具體情況,選擇合理術(shù)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.
【學(xué)位授予單位】：浙江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R658.2
，
本文編號(hào)：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.
【學(xué)位授予單位】：浙江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R658.2
，
本文編號(hào)：2181411
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