甲沟成形术治疗重度嵌甲症154例临床分析

Treatment of moderate or severe degree ingrown toenail disease with nail groove plasty

目的:探讨甲沟成形术治疗重度嵌甲症的临床疗效,提高嵌甲症的临床治愈率。方法:对154例重度足嵌甲症患者采用甲沟成形术进行治疗,从外形是否光滑、甲沟有无加深、有无疼痛、有无炎症等方面对术后疗效进行评价。结果:患者154例均获得随访,随访时间最短8个月,最长5年,重建甲沟形态良好,甲沟无加深、疼痛及炎症,效果较满意。结论:甲沟成形术是针对嵌甲症病理改变所进行的手术设计,可矫正足嵌甲症的解剖病变,疗效明显,值得推广。

Objective： To approach the curative effect of moderate or severe degree ingrown toenail disease with nail groove plasty, and to elevate the clinic cure rate of ingrown toenail disease. Methods： After analyzed the reason of 154 cases severity ingrown toenail disease, microtubule resection operation with disease lateral keratogenous membrane, soft tissue and propotional nailroots, according to the pathogenetic condition supply the operation of diease lateral ventri-lateral margin crescent-shaped excision of soft tissue. Results： Among 154 cases with severe ingrown toenail, operation healing well 154 cases. Follow-up visit between 8 onths to 5 years, to appraise the curative effect form shape, pain, inflammation present. Conclusion： This operation method rectificaed the anatomy pathological changes of severe ingrown toenail disease and obviously elevated the clinic cure rate.