微创甲母质刮除术治疗嵌甲性甲沟炎206例术后疗效调查

目的：采用减少创伤,清除仅与疾病有关的肉芽、甲板、甲母质(nail matrix,或甲基质onychostroma)等病变组织术式治疗嵌甲性甲沟炎,并随访评估疗效。 方法：2010年-2013年6月,门诊手术治疗206例嵌甲性甲沟炎患者。术中剪除病变侧甲板3-4mm,并刮除与之相关的甲母质,刮出炎性肉芽,术后换药。 结果 术后随访6月-2年,复发13例,术后3月复发人数最多,复发率6.3%,优良率：93.6% 结论：微创甲母质刮出术,创伤小,手术简单,疗效满意,建议推广。

Nail matrix curettage minimally invasive treatment of ingrown toenails paronychia 206 cases of postoperative effects Survey

Objective: To reduce the trauma associated with disease only remove inflammatory granulation, deck, nail matrix(or onychostroma) treatment of diseased tissue, such as ingrown toenails paronychia, and follow-up to assess efficacy. Methods: In June 2010, -2013, outpatient surgical treatment of 206 cases of ingrown toenails paronychia patients. Surgery to cut off the lesion side deck 3-4mm, and curettage associated with a parent material, scraped inflammatory granulation, postoperative dressing. Results: The patients were followed up in June to 2 years, 13 cases of recurrence, relapse up to 3 months after the number, the recurrence rate of 6.3%, excellent rate: 93.6%. Conclusions: Minimally invasive surgery scraped nail matrix, trauma, surgery is simple, satisfactory results, the proposed promotion. Keywords: ingrown toenails paronychia, nail matrix, surgical treatment.