嵌甲的治疗进展

doi:10.3760/cma.j.issn.0412-4030.2018.08.027

中华皮肤科杂志 ›› 2018, Vol. 51 ›› Issue (8): 632-635.doi: 10.3760/cma.j.issn.0412-4030.2018.08.027

• 综述 • 上一篇

嵌甲的治疗进展

周园¹,陈韡¹,王大光²

1. 南京医科大学第一附属医院皮肤科
2. 南京医科大学第一附属医院

收稿日期:2017-06-20 修回日期:2017-07-12 出版日期:2018-08-15 发布日期:2018-07-31
通讯作者: 王大光 E-mail:wangirwin@126.com
基金资助:
国家自然科学基金;国家自然科学基金;江苏省自然科学基金;江苏省六大人才高峰C类资助项目

Treatment of ingrown nail

Yuan ZHOU¹, ²,Da-Guang Wang

Received:2017-06-20 Revised:2017-07-12 Online:2018-08-15 Published:2018-07-31
Contact: Da-Guang Wang E-mail:wangirwin@126.com
Supported by:
National Natural Science Foundation of China;National Natural Science Foundation of China;Natural Science Foundation of Jiangsu Province of China;Six Talent Peaks of Jiangsu Province

摘要/Abstract

摘要： 嵌甲是常见的甲病之一，最常发生于拇趾。多种因素可导致嵌甲［1］。嵌甲可表现为局部红肿、疼痛及行走困难，可影响患者的生活质量。根据临床表现，可将嵌甲分为4期［2］：Ⅰ期（炎症期）表现为轻度红斑、水肿、压痛，侧甲皱襞未高出或覆盖甲缘；Ⅱa期（脓肿期）表现为红斑、水肿、疼痛加剧，感觉过敏，有渗出和（或）感染，侧甲皱襞高出甲板但 ≤ 3 mm或横向覆盖甲板但宽度 ≤ 3 mm；Ⅱb期（脓肿期）和Ⅱa期相似，但侧甲皱襞肥厚高出甲板＞3 mm或横向覆盖甲板宽度＞3 mm；Ⅲ期（增生期）表现为肉芽组织增生，侧甲皱襞肥厚，广泛覆盖甲板两侧；Ⅳ期（远端增生期）表现为甲板严重弯曲畸形，侧甲皱襞、远端甲皱襞严重增生肥厚，增生组织广泛覆盖甲板。嵌甲的治疗包括保守治疗和外科治疗两大类。轻度红斑、疼痛较轻且无渗出或渗出不多的Ⅰ期以及Ⅱa期嵌甲可采取保守治疗，红斑严重、疼痛较重且有渗出的Ⅱb期及以上的嵌甲则通常需要外科干预。针对嵌甲的治疗手段很多，临床上应根据嵌甲的病因、分期以及严重程度有针对性地选择，以期为患者带来更好的预后。现就嵌甲的治疗方法做一概述……

关键词: 嵌甲, 保守治疗, 外科治疗

Key words: Onychocryptosis, Conservative treatment, Surgical treatment

周园陈韡王大光. 嵌甲的治疗进展[J]. 中华皮肤科杂志, 2018, 51(8): 632-635.

Yuan ZHOU Da-Guang Wang. Treatment of ingrown nail[J]. Chinese Journal of Dermatology, 2018, 51(8): 632-635.

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嵌甲的治疗进展

Treatment of ingrown nail

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