甲板局部开窗治疗甲下血管球瘤的疗效分析  

Clinical efficacy of local deck window surgery for subungual hemangiomas

作　　者：刘瀚忠 翟丽芹 LIU Hanzhong;ZHAI Liqin(Department of Orthopaedics,The Seventh Affiliated Hospital of Sun Yat-Sen University,Shenzhen 518107,Guangdong,China;Department of Ultrasound,Guangming District Maternal and Child Health Hospital,Shenzhen 518107,Guangdong,China)

机构地区：[1]中山大学附属第七医院骨科,广东深圳518107 [2]光明区妇幼保健院超声科,广东深圳518107

出　　处：《外科研究与新技术》2024年第1期31-34,共4页Surgical Research and New Technique

摘　　要：目的 探讨甲板局部开窗治疗甲下血管球瘤的临床疗效。方法 回顾性分析2019年10月—2022年2月收治的9例甲下血管球瘤患者资料,所有患者均采用甲板局部开窗治疗,通过随访观察术后伤口情况、患者疼痛缓解程度[视觉模拟评分法(VAS)评分]、甲床恢复情况及患者满意度等指标,并进行术后临床疗效评价。结果 术后随访所有患者伤口愈合良好,无甲床感染,疼痛消失,指甲生长良好,术前VAS评分均值明显高于术后2周和2个月,差异具有统计学意义(P<0.05)。术后1例患者出现甲床畸形,所有患者术后均满意。结论 甲板局部开窗治疗甲下血管球瘤手术疗效好,疼痛缓解明显,患者满意度高,值得临床推广应用。Objective To explore the clinical efficacy of local deck window surgery for subungual hemangiomas.Methods A retrospective analysis was performed on data of 9 patients with subungual hemangiomas from October 2019 to February 2022.All patients underwent local deck window surgery,and postoperative clinical efficacy was evaluated by observing wound condition,pain relief[visual analogue scale(VAS)score],recovery of the nail bed,and patient satisfaction during follow-up.Results Postoperative follow-up showed good wound healing without nail bed infection,disappearance of pain,and good nail growth for all patients.The mean preoperative VAS score was significantly higher than that at 2 weeks and 2 months postoperatively(P<0.05).One patient developed nail bed deformity after surgery,but all patients were satisfied with the results.Conclusion Local deck window surgery for subungual hemangiomas has good surgical efficacy,significant pain relief,and high patient satisfaction,and is worth promoting and applying in clinical practice.

关 键 词：血管球瘤 视觉模拟评分 手术方式 复发 

分 类 号：R739.96[医药卫生—肿瘤]