全甲板撕脱术治疗五例逆生性甲的疗效评估

doi:10.35541/cjd.20200332

中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (6): 532-534.doi: 10.35541/cjd.20200332

全甲板撕脱术治疗五例逆生性甲的疗效评估

刘洋¹ 朱月倩² 孙祺琳¹ 王雪¹ 陈骏¹ 刘科¹

¹上海交通大学医学院附属第九人民医院皮肤科 200011；²苏州大学附属第一医院皮肤科 215000

收稿日期:2020-04-07 修回日期:2021-01-18 发布日期:2021-05-31
通讯作者: 刘科 E-mail:qq593783531@163.com
作者简介:作者来电希望2021年6月前见刊
基金资助:
上海交通大学医学院附属第九人民医院基础研究助推计划项目（JYZZ035）；上海交通大学“交大之星”计划医工交叉研究基金（YG2019QNA13）

Evaluation of the efficacy of complete nail plate avulsion in the treatment of five cases of retronychia

Liu Yang¹, Zhu Yueqian², Sun Qilin¹, Wang Xue¹, Chen Jun¹, Liu Ke¹

¹Department of Dermatology, Shanghai Ninth People′s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200011, China; ²Department of Dermatology, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu, China

Received:2020-04-07 Revised:2021-01-18 Published:2021-05-31
Contact: Liu Ke, E-mail:qq593783531@163.com
Supported by:
Fundamental Research Program Funding of Shanghai Ninth People′s Hospital, Shanghai JiaoTong University School of Medicine （JYZZ035）; Interdisciplinary Research of Shanghai Ninth People′s Hospital, Shanghai JiaoTong University School of Medicine （YG2019QNA13）

摘要/Abstract

摘要： 【摘要】目的评估全甲板撕脱术治疗逆生性甲的疗效。方法 2018年6月至2019年11月于上海交通大学医学院附属第九人民医院皮肤科纳入5例（5趾）逆生性甲患者，采用全甲板撕脱术治疗。对部分病例拇趾远端多余皮肤组织切除，术后放置甲片。结果 5例患者术后新生甲板逐步长满甲床区域，疼痛完全解除。术后6 ~ 12个月随访，甲板均恢复正常。结论全甲板撕脱术治疗逆生性甲疗效明显，值得临床推广。

关键词: 指（趾）甲疾病, 外科手术, 逆生性甲, 全甲板撕脱

Abstract: 【Abstract】 Objective To evaluate the efficacy of complete nail plate avulsion in the treatment of retronychia. Methods From June 2018 to November 2019, 5 patients with retronychia （5 toes） were collected from the Department of Dermatology, Shanghai Ninth People′s Hospital, Shanghai JiaoTong University School of Medicine, and treated with complete nail plate avulsion. In some cases, redundant skin tissues at the distal end of the great toe were removed. After the surgery, artificial nails were placed on the surface of the nail bed followed by the suturing. Results In the 5 patients, the neonatal nail plate gradually grew over the nail bed, and pain was completely relieved. Within the follow-up of 6 - 12 months, the nail plates of the 5 patients all returned to normal. Conclusion Complete nail plate avulsion is effective for the treatment of retronychia, and worthy of clinical promotion.

Key words: Nail diseases, Surgical procedures, operative, Retronychia, Complete nail plate avulsion

刘洋朱月倩孙祺琳王雪陈骏刘科. 全甲板撕脱术治疗五例逆生性甲的疗效评估[J]. 中华皮肤科杂志, 2021,54(6):532-534. doi:10.35541/cjd.20200332

Liu Yang, Zhu Yueqian, Sun Qilin, Wang Xue, Chen Jun, Liu Ke. Evaluation of the efficacy of complete nail plate avulsion in the treatment of five cases of retronychia[J]. Chinese Journal of Dermatology, 2021, 54(6): 532-534.doi:10.35541/cjd.20200332

参考文献 14

［1］	de Berker DA, Rendall JR. Retronychia⁃proximal ingrowing nail［J］. J Eur Acad Dermatol Venereol, 1999,12（suppl 2）: S126.
［2］	de Berker DA, Richert B, Duhard E, et al. Retronychia: proximal ingrowing of the nail plate［J］. J Am Acad Dermatol, 2008,58（6）:978⁃983. doi: 10.1016/j.jaad.2008.01.013.
［3］	Gerard E, Prevezas C, Doutre MS, et al. Risk factors, clinical variants and therapeutic outcome of retronychia: a retrospective study of 18 patients［J］. Eur J Dermatol, 2016,26（4）:377⁃381. doi: 10.1684/ejd.2016.2774.
［4］	Piraccini BM, Richert B, de Berker DA, et al. Retronychia in children, adolescents, and young adults: a case series［J］. J Am Acad Dermatol, 2014,70（2）:388⁃390. doi: 10.1016/j.jaad.2013. 09.029.
［5］	Ventura F, Correia O, Duarte AF, et al. Retronychia⁃⁃clinical and pathophysiological aspects［J］. J Eur Acad Dermatol Venereol, 2016,30（1）:16⁃19. doi: 10.1111/jdv.13342.
［6］	Mello C, Souza M, Noriega LF, et al. Retronychia［J］. An Bras Dermatol, 2018,93（5）:707⁃711. doi: 10.1590/abd1806⁃4841.2018 7908.
［7］	Wortsman X, Wortsman J, Guerrero R, et al. Anatomical changes in retronychia and onychomadesis detected using ultrasound［J］. Dermatol Surg, 2010,36（10）:1615⁃1620. doi: 10.1111/j.1524⁃4725.2010.01694.x.
［8］	Fernández J, Reyes⁃Baraona F, Wortsman X. Ultrasonographic criteria for diagnosing unilateral and bilateral retronychia［J］. J Ultrasound Med, 2018,37（5）:1201⁃1209. doi: 10.1002/jum.14 464.
［9］	Pizarro M, Pieressa N, Wortsman X. Posttraumatic retronychia of the foot with clinical and ultrasound correlation［J］. J Am Podiatr Med Assoc, 2017,107（3）:253⁃256. doi: 10.7547/16⁃076.
［10］	Cohen PR. Congenital malalignment of the great toenails: case report and literature review［J］. Pediatr Dermatol, 1991,8（1）:43⁃45. doi: 10.1111/j.1525⁃1470.1991.tb00839.x.
［11］	Baran R. Significance and management of congenital malalignment of the big toenail［J］. Cutis, 1996,58（2）:181⁃184.
［12］	Guéro S, Guichard S, Fraitag SR. Ligamentary structure of the base of the nail［J］. Surg Radiol Anat, 1994,16（1）:47⁃52. doi: 10.1007/BF01627920.
［13］	Daniel CR 3rd, Tosti A, Iorizzo M, et al. The disappearing nail bed: a possible outcome of onycholysis［J］. Cutis, 2005,76（5）:325⁃327.
［14］	Litaiem N, Drissi H, Zeglaoui F, et al. Retronychia of the toenails: a review with emphasis on pathogenesis, new diagnostic and management trends［J］. Arch Dermatol Res, 2019,311（7）:505⁃512. doi: 10.1007/s00403⁃019⁃01925⁃w.

[1]	刘燕邱林傅跃先田晓菲袁心刚肖军李天武毛小波梅爱莲郭永强周荣. 儿童甲母痣35例外科治疗效果分析[J]. 中华皮肤科杂志, 2022, 0(4): 20201040-e20201040.
[2]	王化锋段峰任天胜谢明忠刘贻华. 弧形开窗引流术治疗甲根脓肿72例疗效观察[J]. 中华皮肤科杂志, 2022, 0(4): 20201255-e20201255.
[3]	岳超, 罗显雁, 王涛, 段梦莹, 戴叶芹, 彭建中. 纵向切口横向缝合法在下眼睑缘五边形全层缺损修复中的应用[J]. 中华皮肤科杂志, 2022, 55(2): 159-161.
[4]	郭伟赵涛郭伟楠马翠玲高天文赵建红李冰. 早期甲黑素瘤115例手术治疗方案和预后回顾分析[J]. 中华皮肤科杂志, 2021, 54(9): 777-784.
[5]	孔令卓张韡单士军吴信峰. 反射式共聚焦显微镜辅助手术治疗外阴乳房外Paget病二例[J]. 中华皮肤科杂志, 2021, 54(8): 723-725.
[6]	王大光蒋佳怡. 几种甲病诊疗的思考[J]. 中华皮肤科杂志, 2021, 54(8): 733-737.
[7]	郭清清宋亚丽. 手足口病12例甲损害临床与皮肤镜表现[J]. 中华皮肤科杂志, 2021, 54(5): 431-433.
[8]	罗显雁彭建中许爱娥武毅. 组合皮下组织蒂皮瓣修复11例鼻翼全层缺损疗效观察[J]. 中华皮肤科杂志, 2021, 54(12): 1099-1101.
[9]	闫东郭艳阳张宇伟海璐明高天文朱冠男. 266例黑甲性皮损的皮肤镜特点分析[J]. 中华皮肤科杂志, 2021, 54(11): 993-997.
[10]	刘飞张宁杨建明杜武军黄存马林瑞康志学. 棉条填塞联合甲襞楔形切除治疗嵌甲型甲沟炎疗效观察[J]. 中华皮肤科杂志, 2021, 54(10): 898-900.
[11]	贾苇雪, 李诚让. 中外白癜风诊疗指南及共识比较[J]. 中华皮肤科杂志, 2021, 0(1): 20201048-e20201048.
[12]	罗显雁彭建中王涛岳超许如意. 脂肪蒂皮瓣在修复皮肤肿瘤切除术后面部缺损中的临床疗效观察[J]. 中华皮肤科杂志, 2020, 53(9): 729-731.
[13]	鲁丽霞陈明亮李芳芳李青玲张江林粟娟. 常见甲病的皮肤镜表现[J]. 中华皮肤科杂志, 2020, 53(6): 479-483.
[14]	王涛罗显雁岳超彭建中. O-Z-O皮瓣在面部相邻皮肤缺损修复中的应用[J]. 中华皮肤科杂志, 2020, 53(6): 465-466.
[15]	王薇肖仕初. 白癜风的外科治疗进展[J]. 中华皮肤科杂志, 2020, 53(5): 384-386.

全甲板撕脱术治疗五例逆生性甲的疗效评估

Evaluation of the efficacy of complete nail plate avulsion in the treatment of five cases of retronychia

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 14

相关文章 15

Metrics

本文评价

推荐阅读 10