改良部分拇趾甲切除术治疗顽固性甲沟炎的疗效观察

目的观察改良部分拇趾甲及甲床切除方法治疗顽固性甲沟炎的疗效。方法1978-01—2009-05对326例拇趾甲沟炎病人采用单趾一侧或双侧、双趾一侧或双侧病灶部分趾甲及甲床切除术。结果治愈319例（97．9％），复发7例（2．1％）；44例（13．5％）患拇趾头变形者中，39例恢复正常形态（88．6％），5例（11。4％）变形有不同程度改善；11例（3．4％）合并骨髓炎者经治疗后痊愈。结论改良部分拇趾甲切除及病变甲床清除，使破坏后病变甲床不再生长趾甲，彻底清除甲沟炎的致病因素，疗效可靠。

Resection of improved partial toenail for treatment of obstinate paronychia

Objective To explore the effect of the resection of improved partial toenail for treatment of obstinate paronychia. Methods Three hundred and twenty-six patients with toe paronychia were selected for removal of improved partial toenail in our hospital from January 1978 to May 2009. Results Among 326 patients, 319 patients were cured. The cute rate was 97.9%, 7 patients relapsed, recurrence rate was 2. 1% ; in 44 patients with toenail deformation, the deformation rate was 13.5%, the toenails in 39 patients return to normal patterns, the restoration rate was 88. 6%, 5 patients deformation was of a marked improvement, the improvement rate was 11.4% ; 11 pa-tients complicated with osteomyelitis were cured after operation, the recovery rate was 3.4%. Conclusion Resection of improved partial toenail for treatment of obstinate paronychia is a favorable method.