改良術式治療重度嵌甲臨床療效觀察_《中國修復重建外科雜志》

作者：

賈赤宇 , 李鵬程 , 吳玉家 , 邱亞斌 , 曹令 , 常春娟 , 張楊楊

解放軍第309醫院燒傷整形科（北京，100091）;

關鍵詞：

重度嵌甲改良術式復發

DOI：

10.7507/1002-1892.20130190

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目的總結采用拔甲聯合壞死組織和嵌入部分甲床徹底切除及甲周整形改良術式治療重度嵌甲的臨床療效。方法2005年1月－2010年12月，收治13例16趾重度嵌甲患者。男12例15趾，女1例1趾；年齡18～32歲，平均20歲。病程1～15年，平均2年9個月。均為（足母）趾；其中3例雙側，10例單側。術中完整切除甲緣周圍肉芽組織及嵌入趾甲、壞死甲床，用拉力膠將患側甲側壁創緣向中間甲床靠攏。結果術后3～5 d首次更換敷料時，見傷口充血減輕，腫脹消退、分泌物少；7 d時傷口干燥，可見新甲床形成；2周后傷口均愈合，裸露甲床已上皮化，患側甲側壁向甲板靠攏愈合良好，患者均恢復正常生活。拔甲后6個月均長出新趾甲，新甲溝形成。患者均經24個月隨訪未見復發。結論該改良術式具有保留外觀好、復發率低等特點，是治療重度嵌甲的有效方法之一。

引用本文： 賈赤宇,李鵬程,吳玉家,邱亞斌,曹令,常春娟,張楊楊. 改良術式治療重度嵌甲臨床療效觀察. 中國修復重建外科雜志, 2013, 27(7): 869-871. doi: 10.7507/1002-1892.20130190 復制

1.	Haricharan RN, Masquijo J, Bettolli M. Nail-fold excision for the treatment of ingrown toenail in children. J Pediatr, 2013, 162(2): 398-402.
2.	楊春梅, 章建林, 朱. 復雜性嵌甲癥的整形外科治療. 中華整形外科雜志, 2010, 26(1): 64-65.
3.	Richert B. Surgical management of ingrown toenails—an update overdue. Dermatol Ther, 2012, 25(6): 498-509.
4.	Peralta L, Morais P. Great toenail deformity—case studies. Aust Fam Physician, 2012, 41(6): 408-409.
5.	Khunger N, Kandhari R. Ingrown toenails. Indian J Dermatol Venereol Leprol, 2012, 78(2): 279-284.
6.	Lee KW, Burm JS, Yang WY. Keloid formation on the great toe after chronic paronychia secondary to ingrown nail. Int Wound J, 2013, 10(2): 200-202.
7.	Eekhof JA, Van Wijk B, Knuistingh Neven A, et al. Interventions for ingrown toenails. Cochrane Database Syst Rev, 2012, 4: CD001541.
8.	Baran R. The nail in the elderly. Clin Dermatol, 2011, 29(1): 54-60.
9.	Seyfettino?lu F, Sünneli Ö, Dülgero?lu A, et al. A case of ingrown toenail accompanied by extreme soft tissue hypertrophy to the extent of invisible nail. Acta Orthop Traumatol Turc, 2012, 46(5): 407-410.
10.	Kim JY. Matrixplasty for the treatment of severe incurved toenail with growth plate deformity. J Am Podiatr Med Assoc, 2012, 102(3): 198-204.
11.	Tassara G, Machado MA, Gouthier MA. Treatment of ingrown nail: comparison of recurrence rates between the nail matrix phenolization classical technique and phenolization associated with nail matrix curettage—is the association necessary? An Bras Dermatol, 2011, 86(5): 1046-1048.
12.	Perez CI, Maul XA, Catalina Heusser M, et al. Operative technique with rapid recovery for ingrown nails with granulation tissue formation in childhood. Dermatol Surg, 2013, 39(3 Pt 1): 393-397.
13.	Küçüktas M, Kutlubay Z, Yardimci G, et al. Comparison of effectiveness of electrocautery and cryotherapy in partial matrixectomy after partial nail extraction in the treatment of ingrown nails. Dermatol Surg, 2013, 39(2): 274-280.
14.	Richert B. Surgical management of ingrown toenails—an update overdue. Dermatol Ther, 2012, 25(6): 498-509.
15.	Zhu X, Shi H, Zhang L, et al. Lateral fold and partial nail bed excision for the treatment of recurrent ingrown toenails. Int J Clin Exp Med, 2012, 5(3): 257-261.
16.	Mitchell S, Jackson CR, Wilson-Storey D. Surgical treatment of ingrown toenails in children: what is best practice? Ann R Coll Surg Engl, 2010, 93(2): 99-102.
17.	Karaca N, Dereli T. Treatment of ingrown toenail with proximolateral matrix partial excision and matrix phenolization. Ann Fam Med, 2012, 10(6): 556-559.
18.	Kayalar M, Bal E, Toros T, et al. Results of partial matrixectomy for chronic ingrown toenail. Foot Ankle Int, 2011, 32(9): 888-895.

1. Haricharan RN, Masquijo J, Bettolli M. Nail-fold excision for the treatment of ingrown toenail in children. J Pediatr, 2013, 162(2): 398-402.
2. 楊春梅, 章建林, 朱. 復雜性嵌甲癥的整形外科治療. 中華整形外科雜志, 2010, 26(1): 64-65.
3. Richert B. Surgical management of ingrown toenails—an update overdue. Dermatol Ther, 2012, 25(6): 498-509.
4. Peralta L, Morais P. Great toenail deformity—case studies. Aust Fam Physician, 2012, 41(6): 408-409.
5. Khunger N, Kandhari R. Ingrown toenails. Indian J Dermatol Venereol Leprol, 2012, 78(2): 279-284.
6. Lee KW, Burm JS, Yang WY. Keloid formation on the great toe after chronic paronychia secondary to ingrown nail. Int Wound J, 2013, 10(2): 200-202.
7. Eekhof JA, Van Wijk B, Knuistingh Neven A, et al. Interventions for ingrown toenails. Cochrane Database Syst Rev, 2012, 4: CD001541.
8. Baran R. The nail in the elderly. Clin Dermatol, 2011, 29(1): 54-60.
9. Seyfettino?lu F, Sünneli Ö, Dülgero?lu A, et al. A case of ingrown toenail accompanied by extreme soft tissue hypertrophy to the extent of invisible nail. Acta Orthop Traumatol Turc, 2012, 46(5): 407-410.
10. Kim JY. Matrixplasty for the treatment of severe incurved toenail with growth plate deformity. J Am Podiatr Med Assoc, 2012, 102(3): 198-204.
11. Tassara G, Machado MA, Gouthier MA. Treatment of ingrown nail: comparison of recurrence rates between the nail matrix phenolization classical technique and phenolization associated with nail matrix curettage—is the association necessary? An Bras Dermatol, 2011, 86(5): 1046-1048.
12. Perez CI, Maul XA, Catalina Heusser M, et al. Operative technique with rapid recovery for ingrown nails with granulation tissue formation in childhood. Dermatol Surg, 2013, 39(3 Pt 1): 393-397.
13. Küçüktas M, Kutlubay Z, Yardimci G, et al. Comparison of effectiveness of electrocautery and cryotherapy in partial matrixectomy after partial nail extraction in the treatment of ingrown nails. Dermatol Surg, 2013, 39(2): 274-280.
14. Richert B. Surgical management of ingrown toenails—an update overdue. Dermatol Ther, 2012, 25(6): 498-509.
15. Zhu X, Shi H, Zhang L, et al. Lateral fold and partial nail bed excision for the treatment of recurrent ingrown toenails. Int J Clin Exp Med, 2012, 5(3): 257-261.
16. Mitchell S, Jackson CR, Wilson-Storey D. Surgical treatment of ingrown toenails in children: what is best practice? Ann R Coll Surg Engl, 2010, 93(2): 99-102.
17. Karaca N, Dereli T. Treatment of ingrown toenail with proximolateral matrix partial excision and matrix phenolization. Ann Fam Med, 2012, 10(6): 556-559.
18. Kayalar M, Bal E, Toros T, et al. Results of partial matrixectomy for chronic ingrown toenail. Foot Ankle Int, 2011, 32(9): 888-895.

《中國修復重建外科雜志》

改良術式治療重度嵌甲臨床療效觀察

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《中國修復重建外科雜志》

改良術式治療重度嵌甲臨床療效觀察

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