复发性嵌甲的改良Winograd手术治疗  

Meliorated surgical procedure of Winograd for recurrent onychocryptosis

作　　者：曾明[1] 付士平 

机构地区：[1]上海市第八人民医院骨科,200235

出　　处：《中华医学杂志》2012年第25期1767-1769,共3页National Medical Journal of China

摘　　要：目的探讨复发性嵌甲的改良手术方法并评价其手术疗效。方法以Winograd术式为基础，设计手术改良方案，对145例复发性嵌甲患者，行改良手术治疗，随访回顾分析其复发情况，对于复发时间和随访时间的差异进行统计学分析。结果本研究组Ⅰ型病例86例，Ⅱ型病例19例，Ⅲ型病例40例，平均随访时间（28．7±9．6）个月无复发，临床差异有统计学意义（P〈0．01）。结论该改良术式对复发性嵌甲的治疗有效。Objective To explore the improvement of surgical procedure in recurrent onychocryptosis and evaluate its efficacy. Methods The meliorated procedure was designed based on the Winograd surgical protocol. A total of 145 cases of recurrent onychocryptosis were recruited into this retrospective study. The recurrence rate and the difference between recurrent duration and fallow-up period were analyzed statistically. Results In this series, onychocryptosis was categorized into type Ⅰ （n = 86）, type Ⅱ （ n = 19） and type Ⅲ（ n = 40） respectively. The average follow-up period was 28.72 ± 9. 58 months. No recurrent case was found. The outcomes were significant in both statistical analysis and clinical aspects. Conclusion This modified surgical procedure is effective in the treatment of recurrent onychocryptosis.

关 键 词：嵌甲 复发 外科手术 

分 类 号：R632.7[医药卫生—外科学]