拔甲联合甲旁真皮-脂肪瓣填塞术治疗7例双侧重度卷曲型嵌甲  

Nail removal in combination with periungual dermis-fat flap tamponade for the treatment of bilateral severe curved ingrown nails in seven patients

作　　者：陈婷[1] 谭宣丰 杜宝林[3] 马云云 刘燕[5] 闫娜[5] Chen Ting;Tan Xuanfeng;Du Baolin;Ma Yunyun;Liu Yan;Yan Na(Department of Dermatology,Xijing Hospital,The Fourth Military Medical University,Xi′an 710032,China;Hospital of Dermatology,The Second Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710004,China;Department of Dermatology,Yan′an People′s Hospital,Yan′an 716000,Shaanxi,China;Department of Dermatology,Xi′an XD Group Hospital,Xi′an 710077,China;Department of Dermatology,Hanzhong Central Hospital,Hanzhong 712300,Shaanxi,China)

机构地区：[1]第四军医大学西京皮肤医院,西安710032 [2]西安交通大学第二附属医院皮肤病院,西安710004 [3]延安市人民医院皮肤科,延安716000 [4]西电集团医院皮肤科,西安710077 [5]汉中市中心医院皮肤科,汉中712300

出　　处：《中华皮肤科杂志》2022年第6期532-533,共2页Chinese Journal of Dermatology

摘　　要：目的探讨拔甲联合甲旁真皮-脂肪瓣填塞术治疗双侧重度卷曲型嵌甲的临床效果。方法回顾性分析2018年1月至2020年1月就诊的7例双侧重度卷曲型嵌甲患者的临床资料,男3例,女4例,年龄25~49岁,平均35岁。采用拔甲联合甲旁真皮-脂肪瓣填塞术进行门诊手术治疗。结果7例患者术后切口均为一期愈合,无感染。术后1~2周疼痛全部缓解。随访12~24个月,新生甲板均长出,无卷曲畸形,甲沟无红肿,无甲沟炎复发,患者均对疗效满意。结论拔甲联合甲旁真皮-脂肪瓣填塞术治疗双侧重度卷曲型嵌甲临床效果良好。Objective To investigate clinical efficacy of nail removal in combination with periungual dermis-fat flap tamponade in the treatment of bilateral severe curved ingrown nails.Methods A retrospective analysis was conducted on clinical data collected from 7 patients with bilateral severe curved ingrown nails visiting the hospital between January 2018 and January 2020.There were 3 males and 4 females,aged 25-49 years(average:35 years).All patients were treated with nail removal in combination with periungual dermis-fat flap tamponade at outpatient clinics.Results All the 7 patients experienced primary healing of incisions without infections,and achieved pain relief 1-2 weeks after surgery.During the follow-up of 12 to 24 months,new nail plates grew back without curling deformity,no erythematous swelling occurred in the nail grooves,and no recurrence of paronychia was observed.All patients were satisfied with the clinical efficacy.Conclusion Nail removal in combination with periungual dermis-fat flap tamponade is effective for the treatment of bilateral severe curved ingrown nails.

关 键 词：嵌甲 重度卷曲型嵌甲 拔甲 真皮-脂肪瓣 

分 类 号：R758.72[医药卫生—皮肤病学与性病学]