以指（趾）甲病变为主诉的2776例患者临床分析

Clinical analysis of 2776 patients with a chief complaint of nail abnormalities

目的分析指（趾）甲病的分布特点。方法对2007年5月至2010年5月间来皮肤科门诊以指（趾）甲病变为主诉就诊的患者，分别进行常规皮肤科体检、病甲真菌镜检及培养或组织病理检查，确定诊断。统计分析甲病变种类。结果列入分析的2776例甲病患者中，甲真菌病占据首位，共1257例占45．28％，其次为甲沟炎479例占17．26％，银屑病122例占4．39％。结论本地区以甲病变为主诉的就诊患者中以感染性甲病所占比例最高。

Objective To investigate the distribution of nail disorders in patients with a chief com- plaint of nail abnormalities. Methods From May 2007 to May 2010, patients who attended the dermatology outpatient clinic with a chief complaint of nail abnormalities were included in this study. Routine dermatological examination together with fungal culture, microscopic and pathological examination of affected nails was carried out to clarify the diagnosis of nail disorders. The results were statistically analyzed. Results Of the 2776 cases, onychomycosis accounted for 45.28% （1257）, followed by paronychia （479, 17.26%） and psoriasis （122, 4.39%）. Conclusion In this region, patients with a chief complaint of nail disorders are most likely to suffer from nail infections.