甲皱襞新月形切除联合甲下置管治疗重度嵌甲性甲沟炎

目的 探讨甲皱襞新月形切除联合甲下置管治疗重度嵌甲性甲沟炎的临床疗效。方法 收集2019年5月至2020年12月就诊于西安交通大学第二附属医院皮肤科门诊的67例重度嵌甲性甲沟炎患者的临床资料,患者均采用甲皱襞新月形切除联合甲下置管的方法治疗,观察患者的愈合情况及临床疗效。结果 采用甲皱襞新月形切除联合甲下置管治疗重度嵌甲性甲沟炎,患者术后的疼痛持续时间为（4.23±0.50）d,换药次数为（6.71±1.04）次,恢复时间为（13.13±2.23）d。63例患者恢复良好、1例延迟愈合、3例共4侧甲沟炎复发,复发率为3.77%。结论 应用甲皱襞新月形切除联合甲下置管术修复重度嵌甲性甲沟炎的临床效果良好,患者满意度高且操作简单。     

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

【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。     

二氧化碳激光微创治疗嵌甲45例临床疗效观察

目的:探索CO_2激光微创治疗嵌甲的临床疗效。方法:所有患者均进行甲缘部分甲板激光切除术及患侧缘部分甲母质碳化术,同时激光碳化除去化脓性肉芽肿组织,重塑甲侧缘正常结构,并观察其疗效。结果:术后45例(53处嵌甲)患者,50处获痊愈,另3处激光部位有甲刺长出,但未嵌入甲周组织,不影响走路。所有患者无临床症状复发,无任何不良反应及并发症。结论:激光微创治疗嵌甲操作简单,术后患者痛苦少,恢复快,趾甲外形恢复良好,且能达到根治目的,适合临床推广应用。     

部分拔甲联合电灼术治疗嵌甲性甲沟炎67例

嵌甲性甲沟炎是皮肤科、外科常见病,常用的治疗方法是切开引流或全甲拔出术,虽可近期治愈,但易复发。2003年3月~2004年11月我科应用部分拔甲联合电灼术治疗嵌甲性甲沟炎67例,取得良好疗效。现报告如下:1资料与方法1·1一般资料本组患者共67例,均为拇趾甲。其中男35例,女32例,年     

CO_2点阵激光联合微波治疗嵌甲、甲沟炎28例

目的观察CO_2点阵激光联合微波治疗嵌甲、甲沟炎的疗效。方法 56例中、重度嵌甲、甲沟炎患者随机分为2组,治疗组28例,其中12例中度病变患者运用CO_2点阵激光切割病变侧甲并将其拔除,然后用微波烧灼、破坏病变侧甲母质。16例重度病变患者除激光拔甲、微波甲母质治疗外,对甲沟软组织化脓、增生性肉芽组织予以微波或超脉冲CO_2激光烧除进行甲沟重建;对照组28例,全部仅采用CO_2点阵激光切割病变侧甲并将其拔除。结果中度病变患者治疗组及对照组治愈率均为100.00%。重度病变患者治疗组治愈率87.50%,对照组治愈率50.00%,治疗组与对照组比较差异有统计学意义(P0.05)。结论 CO_2点阵激光切割拔甲治疗中度嵌甲、甲沟炎及其联合微波治疗重度嵌甲、甲沟炎简单、有效,创伤小,复发率低。     

拔甲加部分甲母破坏术治疗嵌甲

在临床上，经常会遇到嵌甲患者用传统的拔甲术治疗后复发的病例。为提高嵌甲的治愈率，减少复发，笔者根据甲生长的原理，采用拔甲结合部分甲母破坏术治疗嵌甲，取得了满意效果。现报告如下。     

指甲疾病

20111685改良Winograd术治疗拇趾嵌甲症/徐洪璋(南方医大中医药学院中西医结合临床教研室),陈为坚,程耿斌…∥南方医科大学学报.-2010,30(7).-1749～175135例拇趾嵌甲症患者,其中右足拇趾20例,左足拇趾12例,双足拇趾3例。按作者总结的改良Wino-grad术进行治疗。结果:患者均在2周后拆线,无复发,     

甲沟重建联合甲内卷矫正术治疗重度嵌甲型甲沟炎48例

目的:评价甲沟重建联合甲内卷矫正术治疗嵌甲型甲沟炎的临床疗效。方法:选择2019年12月至2021年10月在我科就诊的重度嵌甲型甲沟炎患者48例，均采用甲沟重建联合甲内卷矫正术治疗。手术要点：(1)楔形切除增生的肉芽组织缩小甲襞，通过新的缝合方法使甲襞侧组织与甲床同一水平，构建正常甲沟；(2)橡胶片固定在甲缘下以钝化甲边缘；(3)用橡皮筋牵拉甲缘下橡胶片以抬高甲侧缘以纠正甲内卷畸形。结果:48例患者(81个拇趾)全部治愈，甲形态正常且美观，随访6个月无复发。结论:甲沟重建联合甲内卷矫正术疗效好。     

甲侧缘挂线法治疗嵌甲性甲沟炎临床疗效观察

目的:探讨甲侧缘挂线法治疗嵌甲性甲沟炎的方法及疗效。方法:用1%利多卡因于趾根处行阻滞麻醉,使用4-0幕丝线多股丝线打结固定,从患侧甲甲板下距趾甲游离端3mm、甲侧缘2mm处穿透甲板并打结固定,术后使用温水泡脚,每天2次,每次15分钟,直到挂线点生长出甲床到达游离端后停止治疗,随访8周,观察治愈和复发情况。结果:56例患者(共60趾)术后1周均无疼痛,停止治疗时,54例(57趾)治愈,治愈率达95.0%(57/60)。随访结束时复发病例为4例(5趾),复发率为8.8%(5/57),治愈率为86.7%(52/60)。结论:甲侧缘挂线法治疗嵌甲性甲沟炎方法简单,手术创面小,痛苦少,恢复快,复发率低,可在术后较短的时间内恢复正常工作生活,值得基层皮肤科门诊推广。     

引流术联合CO_2激光部分甲切除治疗嵌甲性甲沟炎

对足拇趾嵌甲合并甲沟炎传统的治疗方法是外科切开引流或拔甲术。我科应用切开引流术联合CO2激光治疗嵌甲性甲沟炎,获得满意疗效。一、临床资料嵌甲性甲沟炎患者50例,随机分为激光治疗组25例,外科治疗组25例。激光治疗组男14例,女11例;年龄10～28岁,平均年龄18.45岁;平均病程7.6d;伴发糖尿病1例;均为大拇趾,甲沟炎单侧16趾,双侧5趾,甲周炎4例;首发10例,复发15例,其中3例为外科拔甲术后复发;伴肉芽组织增生5例。外科治疗组男13例,女12例;年龄12～28岁,平均年龄19.75岁;平均病程7.8d;伴糖尿病1例;均为大拇趾,单侧甲沟炎14趾,双侧6趾,甲周炎5…     

棉条填塞联合甲襞楔形切除治疗嵌甲型甲沟炎疗效观察

【摘要】 目的 探讨棉条填塞联合甲襞楔形切除治疗嵌甲型甲沟炎的临床效果。方法 将2017年8月至2019年4月宁夏医科大学总医院急诊科接诊的96例嵌甲型甲沟炎患者按照随机数字表法随机等分为对照组和治疗组,各48例,对照组采用Winograd术治疗,治疗组采用棉条填塞联合甲襞楔形切除术治疗。术后随访6 ~ 23个月。结果 术后6个月时治疗组患者治愈47例（97.92%）,对照组治愈41例（85.42%）,两组治愈率差异有统计学意义（χ2 = 4.909,P < 0.05）。治疗组术后第3天和1个月时疼痛视觉模拟评分显著低于对照组（均P < 0.05）。治疗组术后复发率（0）和感染率（2.08%）,明显低于对照组（6.25%、12.5%）,差异均有统计学意义（P < 0.05）。结论 棉条填塞联合甲襞楔形切除术式简单,疗效显著,术后复发率低,值得临床推广应用。     

3种拔甲方法治疗嵌甲性甲沟炎疗效分析

目的探讨嵌甲性甲沟炎的有效治疗方法。方法回顾性分析110例嵌甲性甲沟炎患者的临床资料,A组30例采用全甲拔除术,B组40例采用部分拔甲术联合甲根刮除术,C组40例采用部分拔甲术,比较3组患者的临床疗效。结果 3组患者的愈合时间、治愈率和复发率比较,B组(4±2.57,89.13%和10.87%)和C组(4±1.58,90.91%和9.09%)均优于A组(8±2.38,66.67%和33.33%),差异均有统计学意义(P均<0.01),但是B组和C组的差异不显著(P均>0.05)。结论部分拔甲联合甲根刮除术和部分拔甲术的疗效优于全甲拔除术,且患者痛苦小,依从性好;而且部分拔甲术所需手术器械少,操作技术简单,值得临床选用。     

A simple and practical method in treatment of ingrown nails: splinting by flexible tube

BACKGROUND: The ingrown nail (or onychocryptosis) is a common problem that occurs mostly in the big toe and causes high amounts of morbidity in affected patients. Many therapeutic methods have been described, most of them leading to severe damage to the nail or to frequent relapses. The nail splinting technique is a successful, simple and non-invasive therapeutic method for treating ingrown nails. OBJECTIVE: To determine efficacy of the plastic tube insertion technique in patients with ingrown toenail and its use as a standard treatment. MATERIALS AND METHODS: We encountered 32 cases (age range 9-67 years) of ingrown toenails in this clinical trial. All of the patients were treated using the plastic nail tube insertion technique for 7 to 15 days. Patients were examined daily for the first 3 days of treatment and were evaluated 3 and 6 months after treatment. All patients were followed up by a single observer. RESULTS: Recurrence was seen in only two patients after 6 months of treatment (6.25%). CONCLUSION: The low recurrence rate using the nail splinting technique in the treatment of ingrown toenail, as well as its simple application, shows that this treatment constitutes an effective, non-invasive method. It appears that this technique can substitute other more invasive surgical methods, particularly in the early stages of this disease.     

Indinavir-related recurrent paronychia and ingrown toenails.

Lamivudine and indinavir are two medications used to treat human immunodeficiency virus (HIV) that have recently been reported to cause paronychia. The nails of the great toes are commonly affected. This is the second report of paronychia and ingrown toenails due to indinavir and the first report of recurrent paronychia and ingrown toenails associated with this drug.     

Retronychia: a rare cause of chronic paronychia

Retronychia, described in 1999, is a rare entity of ingrown toenails. Embedding of the nail into the proximal nail fold (PNF) leads to chronic inflammatory changes. Herein, we report a new case that exhibited persistent paronychia in a 23-year-old woman. Retronychia usually does not recur once treated with avulsion. It should be suspected in the event of chronic proximal paronychia.     

Effective treatments for paronychia caused by oncology pharmacotherapy

Cutaneous adverse events are relatively common in patients being treated with molecular‐targeted drugs. Paronychia is one of the cutaneous adverse events that influences the patient's quality of life because of pain, and it often affects anticancer treatments in severe cases. However, there are few effective treatments, especially for severe paronychia. Here, we present our experiences of treatment for paronychia due to oncology pharmacotherapy. Although we treated paronychia with various methods, only corticosteroid ointment and phenol chemical matricectomy significantly improved the paronychia. Dermatologists must perform appropriate and effective treatments for paronychia in order to enable patients to continue anticancer drug treatment without impairing their quality of life.     

单纯挂线治疗Ⅰ~Ⅲ期甲沟炎的疗效评价

目的：评价单纯挂线治疗Ⅰ~Ⅲ期甲沟炎的临床疗效。方法：回顾性分析我科2017年8月至2019年8月107例（134处）Ⅰ~Ⅲ期甲沟炎用单纯挂线治疗的临床疗效。结果：单纯挂线治疗Ⅰ~Ⅲ期甲沟炎能在短期内缓解疼痛,术后第1天、第3天、第7天的疼痛缓解率分别为80.60%、97.01%和100%。缝线脱落时间49~81天,平均65天。总治愈甲沟炎132处,治愈率达98.51%,复发4处,复发率3.03%。结论：单纯挂线疗法治疗Ⅰ~Ⅲ期甲沟炎疗效好,术后不影响患者日常活动,不破坏甲外观正常形态且复发率低。     

Retronychia: report of two cases

Retronychia is an incomplete form of nail shedding that leads to embedding of the nail into the proximal nail fold and subsequent inflammation. Patients present with persistent paronychia in the setting of disrupted nail growth. Other nail changes may be present. Simple avulsion is curative, and unlike other forms of ingrown nails, it does not tend to recur. We report 2 cases of retronychia that were associated with distal onycholysis and subungual hematoma, respectively. Both were successfully treated with nail avulsion.