全甲板撕脱术治疗五例逆生性甲的疗效评估  

Evaluation of the efficacy of complete nail plate avulsion in the treatment of five cases of retronychia

作　　者：刘洋[1] 朱月倩 孙祺琳[1] 王雪[1] 陈骏[1] 刘科[1] Liu Yang;Zhu Yueqian;Sun Qilin;Wang Xue;Chen Jun;Liu Ke(Department of Dermatology,Shanghai Ninth People′s Hospital,Shanghai JiaoTong University School of Medicine,Shanghai 200011,China;Department of Dermatology,The First Affiliated Hospital of Soochow University,Suzhou 215000,Jiangsu,China)

机构地区：[1]上海交通大学医学院附属第九人民医院皮肤科,200011 [2]苏州大学附属第一医院皮肤科,215000

出　　处：《中华皮肤科杂志》2021年第6期532-534,共3页Chinese Journal of Dermatology

基　　金：上海交通大学医学院附属第九人民医院基础研究助推计划项目(JYZZ035);上海交通大学“交大之星”计划医工交叉研究基金(YG2019QNA13)。

摘　　要：目的评估全甲板撕脱术治疗逆生性甲的疗效。方法2018年6月至2019年11月于上海交通大学医学院附属第九人民医院皮肤科纳入5例(5趾)逆生性甲患者,采用全甲板撕脱术治疗。对部分病例拇趾远端多余皮肤组织切除,术后放置甲片。结果5例患者术后新生甲板逐步长满甲床区域,疼痛完全解除。术后6~12个月随访,甲板均恢复正常。结论全甲板撕脱术治疗逆生性甲疗效明显,值得临床推广。Objective To evaluate the efficacy of complete nail plate avulsion in the treatment of retronychia.Methods From June 2018 to November 2019,5 patients with retronychia(5 toes)were collected from the Department of Dermatology,Shanghai Ninth People′s Hospital,Shanghai JiaoTong University School of Medicine,and treated with complete nail plate avulsion.In some cases,redundant skin tissues at the distal end of the great toe were removed.After the surgery,artificial nails were placed on the surface of the nail bed followed by the suturing.Results In the 5 patients,the neonatal nail plate gradually grew over the nail bed,and pain was completely relieved.Within the follow-up of 6-12 months,the nail plates of the 5 patients all returned to normal.Conclusion Complete nail plate avulsion is effective for the treatment of retronychia,and worthy of clinical promotion.

关 键 词：指(趾)甲疾病 外科手术 逆生性甲 全甲板撕脱 

分 类 号：R758.72[医药卫生—皮肤病学与性病学]