改良术式治疗重度嵌甲临床疗效观察_《中国修复重建外科杂志》

作者：

贾赤宇 , 李鹏程 , 吴玉家 , 邱亚斌 , 曹令 , 常春娟 , 张杨杨

解放军第309医院烧伤整形科（北京，100091）;

关键词：

重度嵌甲改良术式复发

DOI：

10.7507/1002-1892.20130190

视频：

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目的总结采用拔甲联合坏死组织和嵌入部分甲床彻底切除及甲周整形改良术式治疗重度嵌甲的临床疗效。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；年龄18～32岁，平均20岁。病程1～15年，平均2年9个月。均为（足母）趾；其中3例双侧，10例单侧。术中完整切除甲缘周围肉芽组织及嵌入趾甲、坏死甲床，用拉力胶将患侧甲侧壁创缘向中间甲床靠拢。结果术后3～5 d首次更换敷料时，见伤口充血减轻，肿胀消退、分泌物少；7 d时伤口干燥，可见新甲床形成；2周后伤口均愈合，裸露甲床已上皮化，患侧甲侧壁向甲板靠拢愈合良好，患者均恢复正常生活。拔甲后6个月均长出新趾甲，新甲沟形成。患者均经24个月随访未见复发。结论该改良术式具有保留外观好、复发率低等特点，是治疗重度嵌甲的有效方法之一。

引用本文： 贾赤宇,李鹏程,吴玉家,邱亚斌,曹令,常春娟,张杨杨. 改良术式治疗重度嵌甲临床疗效观察. 中国修复重建外科杂志, 2013, 27(7): 869-871. doi: 10.7507/1002-1892.20130190 复制

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.	杨春梅, 章建林, 朱. 复杂性嵌甲症的整形外科治疗. 中华整形外科杂志, 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.	Seyfettinoğlu F, Sünneli Ö, Dülgeroğlu 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. 杨春梅, 章建林, 朱. 复杂性嵌甲症的整形外科治疗. 中华整形外科杂志, 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. Seyfettinoğlu F, Sünneli Ö, Dülgeroğlu 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.

《中国修复重建外科杂志》

改良术式治疗重度嵌甲临床疗效观察

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《中国修复重建外科杂志》

改良术式治疗重度嵌甲临床疗效观察

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