中华皮肤科杂志 ›› 2022, Vol. 55 ›› Issue (6): 532-533.doi: 10.35541/cjd.20210286

• 皮肤外科 • 上一篇    下一篇

拔甲联合甲旁真皮-脂肪瓣填塞术治疗7例双侧重度卷曲型嵌甲

陈婷1    谭宣丰2    杜宝林3    马云云4    刘燕5    闫娜5   

  1. 1第四军医大学西京皮肤医院，西安  710032；2西安交通大学第二附属医院皮肤病院，西安  710004；3延安市人民医院皮肤科，延安  716000；4西电集团医院皮肤科，西安710077；5汉中市中心医院皮肤科，汉中  712300
  • 收稿日期:2021-04-12 修回日期:2021-12-06 发布日期:2022-06-02
  • 通讯作者: 闫娜 E-mail:441375575@qq.com

Nail removal in combination with periungual dermis-fat flap tamponade for the treatment of bilateral severe curved ingrown nails in seven patients

Chen Ting1, Tan Xuanfeng2, Du Baolin3, Ma Yunyun4, Liu Yan5, Yan Na5   

  1. 1Department of Dermatology, Xijing Hospital, The Fourth Military Medical University, Xi′an 710032, China; 2Hospital of Dermatology, The Second Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710004, China; 3Department of Dermatology, Yan′an People′s Hospital, Yan′an 716000, Shaanxi, China; 4Department of Dermatology, Xi′an XD Group Hospital, Xi′an 710077, China; 5Department of Dermatology, Hanzhong Central Hospital, Hanzhong 712300, Shaanxi, China
  • Received:2021-04-12 Revised:2021-12-06 Published:2022-06-02
  • Contact: Yan Na E-mail:441375575@qq.com

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摘要： 【摘要】 目的 探讨拔甲联合甲旁真皮-脂肪瓣填塞术治疗双侧重度卷曲型嵌甲的临床效果。方法 回顾性分析2018年1月至2020年1月就诊的7例双侧重度卷曲型嵌甲患者的临床资料，男3例，女4例，年龄25 ~ 49岁，平均35岁。采用拔甲联合甲旁真皮-脂肪瓣填塞术进行门诊手术治疗。结果 7例患者术后切口均为一期愈合，无感染。术后1~ 2周疼痛全部缓解。随访12 ~ 24个月，新生甲板均长出，无卷曲畸形，甲沟无红肿，无甲沟炎复发，患者均对疗效满意。结论 拔甲联合甲旁真皮-脂肪瓣填塞术治疗双侧重度卷曲型嵌甲临床效果良好。

关键词: 嵌甲, 重度卷曲型嵌甲, 拔甲, 真皮-脂肪瓣

Abstract: 【Abstract】 Objective To investigate clinical efficacy of nail removal in combination with periungual dermis-fat flap tamponade in the treatment of bilateral severe curved ingrown nails. Methods A retrospective analysis was conducted on clinical data collected from 7 patients with bilateral severe curved ingrown nails at clinic visits between January 2018 and January 2020. There were 3 males and 4 females, aged 25 - 49 years （average: 35 years）. All patients were treated with nail removal in combination with periungual dermis-fat flap tamponade at outpatient clinics. Results All the 7 patients experienced primary healing of incisions without infections, and achieved pain relief 1 - 2 weeks after surgery. During the follow-up of 12 to 24 months, new nail plates grew back without curling deformity, no erythematous swelling occurred in the nail grooves, and no recurrence of paronychia was observed. All patients were satisfied with the clinical efficacy. Conclusion Nail removal in combination with periungual dermis-fat flap tamponade is effective for the treatment of bilateral severe curved ingrown nails.

Key words: Nails, ingrown, Severe curved ingrown toenails, Nail removal, Dermis-fat flap