部分甲床和甲皱襞切除术治疗嵌甲的失误及并发症分析

目的分析部分甲床和甲皱襞切除术治疗嵌甲的失误及并发症。方法我院对106例患者的112趾嵌甲行部分甲床和甲皱襞切除术，对手术失误和并发症进行分析。结果术后残甲5例（5趾）经二次手术去除残甲；嵌甲复发2例（2趾），1例经再次手术治愈，另1例未处置；感染造成延迟愈合4例（5趾），经外科换药14～21d愈合。本组并发症合计发生率为10．7％。结论术中操作和积极预防处理并发症，是获得良好效果的关键。

Study of surgical faults and complications in the treatment of onychocryptosis by using partial nail bed removal and wedge excision of the lateral fold

Objective To study the surgical faults and complications of partial wedge excision of the lateral nail fold for the treatment of onychocryptosis. Methods In this series, 112 toes in 106 patients with onychocryptosis were treated by using partial wedge excision of the lateral nail fold. Results The posteroperative complications included spicule formation （n=5） toes, recurrence of onychocryptosis （n=2） toes, and delayed wound healing due to infection （n=5）. The spicule and recurrence of onychocryptosis were removed in the secondary operation. Only one toe with recurrent onychocryptosis was not received additional treatment. Those toes with infection wound were applied dressing change and the wound healing was noted in 14 to 21 days. Conclusion Prevention of the surgical faults and complications are critical for the treatment of onychocryptosis.