改良甲沟成形术治疗足大趾嵌甲性甲沟炎

Treatment of Ingrowing Toenail by New Improved Nail Groove Plasty

目的探讨改良甲沟成形术与拔甲术治疗足大趾嵌甲性甲沟炎的方法及其疗效。方法实验组25例足大趾嵌甲性甲沟炎患者,施行病侧部分甲板、甲基质、病灶、甲沟及增生组织"V"形切除,再建甲沟。对照组25例施行拔甲,病侧增生肉芽修整与甲面平齐,甲沟不做重建处理。两组均术后抗炎换药处理。观察两组患者的疗效、复发率及并发症发生情况。结果术后随访6个月,改良甲沟成形术者有25例均无复发,拔甲术者16例痊愈,9例复发。结论相对于拔甲术,改良甲沟成形术治疗足大趾嵌甲性甲沟炎,切除病灶彻底,治愈率高,复发率低,有较好的临床应用价值。

Objective To investigate the clinical curative effect of a new improved nail groove plasty for treat- ment of ingrowning toenail. Methods A total of 50 patients with ingrowning toenail were randomly divided into two groups, 25 cases were treated with nail removal in control group （only pulled nail） , the other （experi- ment group） operated by a new improved nail groove plasty. As to the new repair method of nail groove reconstruction, the granulation tissue and a part of nail matrix were removed, and then the nail groove was recon- structed. The curative effect, recurrent rate and complications were observed. Results Fifty cases were followed up for 6 months. No relapse occmTed in patients of experimental group. On the contrary, sixteen pa- tients were healed, and 9 patients had a recurrence of onychocryptosis onyxis. Conclusion Compared with nail arrachement, improved nail groove plasty shows advantages of completeness in excise lesion, high cure rate and low reoccurrence rate in treating ingrowning toenail, and has better clinical application value.