一种改良Winograd术式治疗嵌甲并甲沟炎

A modified Winograd procedure for the treatment of acrongx combined with paronychia

目的 介绍一种新的改良Winograd术式治疗足趾嵌甲并甲沟炎的方法。方法 2017年7月-2020年6月,共诊治足趾嵌甲并甲沟炎45例(67趾)。对传统Winograd术式进行改良,结合常规的甲沟炎根治术联合应用皮瓣技术,在彻底切除嵌入的侧甲襞以及炎性增生组织的同时充分显露甲根部甲基质实现对侧方甲根部生发基质的根治性切除,并通过皮瓣的转移,调节患趾外观。结果 45例67趾术中嵌入的侧甲襞以及侧方甲根部生发基质均显露清晰并完整切除,术后愈合时间为7~18 d(平均11.4d)。经过9~18个月(平均12个月)的随访,术后外观满意,患趾均愈合良好无复发。结论 这种新型的甲沟炎根治术显露彻底,根治术后无残甲无复发,手术操作简单,术后外观满意,临床应用效果好。

Objective To present a novel modified Winograd procedure for the treatment of qcronyx and paronychia.Methods From July 2017 to June 2020,45 patients(67 digits)aged 14 to 49 years(mean 20.7 years)with ingrown toenails were treated at our department.We modified the traditional Winograd surgical method combined with the conventional paronychia radical resection and the application of skin flap technology.Ensured that the embedded lateral nail fold and inflammatory hyperplasia tissue were completely removed,while the nail root matrix was fully exposed to achieve the radical resection,thereafter,the appearance of the affected toe was adjusted through the transfer of the modified flap to achieve the radical excision of the germinal substrate of the lateral nail root.Results All the surgery showed a clearly procedure during the operation,and the healing time was 7~18 days(mean 11.4 days).After 9~18 months(mean 12 months)follow-up,the postoperative appearance was satisfactory with no recurrence.Conclusion This new type procedure for paronychia makes a completely exposion during the operation.Neither residual nail inflammation nor recurrence are observed.This method is simple and provides satisfactory esthetic and clinical outcomes.