新疆医科大学学报

目的探讨甲板和甲床部分切除术治疗顽固性嵌甲的临床效果。方法 96例顽固性嵌甲患者采用甲板和甲床部分切除术进行治疗。96例患者中75例曾拔甲2次,21例曾拔甲3次。结果 96例患者中83例获得随访,随访时间为1～24个月,平均随访10个月,83例患者均未见嵌甲复发,有3例在切口近侧角出现小的无症状甲刺。结论甲板和甲床部分切除术治疗顽固性嵌甲较单纯拔甲有明显的优势。

Objective To summarize the efficiency evaluation of the germinal matrix,nail bed and nail plate ablation in the relapse onychogryphosis.Methods The clinical data of 96 patients with the relapse onychogryphosis,who were operated in the method of the germinal matrix,nail bed and nail plate ablation from 2006 to 2008 year,were retrospectively analyzed.75 cases of them were excised whole nail to twice and 21 cases of the 96 patients were excised whole nail to three times.Results Eighty three cases of the 96 patients were followed up for 1~24 months,average 10 months.The 83 cases did not have relapse onychogryphosis,but 3 cases grew a little spur of nail in proximal corner of excision,who did not have any symptoms.Conclusion There was a great advantage of the germinal matrix,nail bed and nail plate ablation in the relapse onychogryphosis compared with the simple,whole nail excision.