中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (2): 99-101.doi: 10.12144/zgmfskin202302099

• 临床研究 • 上一篇    下一篇

甲沟重建联合甲内卷矫正术治疗重度嵌甲型甲沟炎48例

张明海   

  1. 安徽医科大学附属巢湖医院皮肤外科,巢湖,238000
  • 出版日期:2023-02-15 发布日期:2022-12-27

Nail groove reconstruction combined with correction of the nail curl deformity in 48 cases with severe ingrown toenail

ZHANG Minghai   

  1. Department of Dermatology, Chaohu Hospital of Anhui Medical University, Chaohu 238000, China
  • Online:2023-02-15 Published:2022-12-27

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摘要： 目的：评价甲沟重建联合甲内卷矫正术治疗嵌甲型甲沟炎的临床疗效。方法：选择2019年12月至2021年10月在我科就诊的重度嵌甲型甲沟炎患者48例，均采用甲沟重建联合甲内卷矫正术治疗。手术要点：①楔形切除增生的肉芽组织缩小甲襞，通过新的缝合方法使甲襞侧组织与甲床同一水平，构建正常甲沟；② 橡胶片固定在甲缘下以钝化甲边缘；③ 用橡皮筋牵拉甲缘下橡胶片以抬高甲侧缘以纠正甲内卷畸形。结果：48例患者（81个拇趾）全部治愈，甲形态正常且美观，随访6个月无复发。结论：甲沟重建联合甲内卷矫正术疗效好。

关键词: 嵌甲, 甲沟炎, 矫正

Abstract: Objective: To assess the efficacy of nail groove reconstruction combined with correction of the nail curl deformity on ingrown paronychia. Methods: 48 patients with severe ingrown paronychia in our department from December 2019 to October 2021 were treated with nail groove reconstruction and combined with correction of the nail curl deformity. The key techniques of the operation included wedge-shaped excision of proliferative granulation tissue to reduce nail fold, then the side tissue of nail fold and nail bed were made at the same level through our suture method; two small rectangular rubber sheets are respectively fixed under the both edges of the nail to passivate the nail edge; two rubber bands was used to pull the two rubber sheets under the nail margin to raise the bilateral margins of the nail for correction the nail curl deformity. Results: All 48 patients (81 big toes) were cured and there was no recurrence after 6 months of follow-up.  Conclusion: The efficacy of nail groove reconstruction combined with nail curl for ingrown paronychia is good.

Key words: ingrowing nail, paronychia, correction