甲沟重建术治疗嵌甲症

嵌甲症作为一种常见病，虽然国内外有多种治疗方法报告，但其复发率可达７３％ ；为了降低嵌甲症治疗后的复发率。自１９９３ 年以来，我们采用了一种病灶切除，利用一侧甲襞推进皮瓣重建甲沟的新方法。结果：治愈率达９５ ．５％ ，重建甲沟形态良好，效果较满意。结论：嵌甲症发生的病理解剖基础是病变甲沟处甲床向甲襞上皮移行中断，炎性肉芽过度充填，局灶性瘢痕形成等，致使甲床向趾骨反折，过度生长，这是造成一般治疗容易复发的根本原因。通过临床实践，我们认为，甲沟重建术是针对这一病理改变所进行的手术设计，确实可靠有效，值得推广。

A study of reconstruct nail groove in ingrown toenail

Ingrown toenail is a commonly encountered disease. Although there are many reports about therapeutic method in this field, the recurrent rate is still about 73%. To decrease the recurrent rate we have adpted a method to cut off the focus and push one unieateral nail fold to reconstruct the nail groove since 1993. Result: The cure rate was 95.5% and the outlook of the refounded nail groove was favorable. The result was satisfactory. Conclusion: The pathologic anatomy of ingrown nail is that the diseased nail bed ceased to migrate, filled of inflammatory granulation tissue with formation of locae scar. These make the nail bed being inverted to phalangeal bone and hypertrophied. This is the reason of its recurrence. We think the reconstructed nail groove is a favorable method in clinic practice.