微创甲基质楔形切除术治疗顽固性足拇趾嵌甲性甲沟炎

Treatment of refractory paronychia with a minimally invasive wedge resection of the nail matrix

目的探讨微创甲基质楔形切除术治疗顽固性足拇趾嵌甲性甲沟炎的临床效果。方法自2010年1月至2016年12月,对32例36趾顽固性足拇趾嵌甲性甲沟炎患者采用微创甲基质楔形切除术治疗。先切开甲根部少许皮肤,拔除宽约3 mm的纵行条状嵌入侧的趾甲,再楔形切除甲根部部分甲基质,直接缝合皮肤。结果所有患者术后伤口均一期愈合,无切口感染等并发症发生。随访4~24个月,甲体外形生长良好,无明显畸形,甲沟炎均无复发,治愈率为100%。结论采用微创甲基质楔形切除术治疗足拇趾顽固性嵌甲性甲沟炎,是一种简单、实用且较理想的手术方式。

Objective To explore the clinical effect of a minimally invasive wedge resection of the nail matrix in the treatment of ingrown toenail and paronychia. Methods From January 2010 to December 2016, 32 patients with 36 affected toes with refractory paronychia were treated by a minimally invasive wedge resection of the nail matrix. First, a little skin at the root of the toenail was cut and a longitudinal strip of about 3 mm wide of the toenail in in the embedded side was removed. Then part of the nail matrix at the root of the toenail was wedge resected. Finally, the skin was sutured. Results All wounds healed primarily without significant complications. All patients were followed up from 4 to 24 months. The toenail grew well and no obvious deformities occurred. There was no recurrence of paronychia, and the cure rate was 100%. Conclusion Minimally invasive wedge resection of the nail matrix is a simple, practical, and ideal surgical method for the treatment of refractory paronychia.