- 期刊
Surgical Treatment of Pincer Nail Using Expanded Onycho-cutaneous Flap
使用延展甲床－皮膚皮瓣來矯正鉗狀指甲的手術治療
摘要
背景：鉗狀指甲這個名詞是Cornelius and Shelley在1968年所提出，是指一種指甲弧度過度彎曲的指甲變形，其弧度沿著軸線由近端至遠端逐漸加大。此種指甲變形常造成病患的疼痛，有時會產生感染發炎的情形，對美觀也有影響。 目標：我們使用一種既簡單又有效並可保留甲床的手術，來治療鉗狀指甲變形。 材料與方式：自2007年1月至12月，在10位病患中，總共12個鉗狀指甲病例，來接受延展甲床－皮膚皮瓣來矯正鉗狀指甲的手術治療。追蹤術後外型，疼痛緩解及發炎情況，將結果區分為非常好、好、普通及很差四種。 結果：總共12個鉗狀指甲病例，來接受此種手術治療。術後指甲都在6個月內完成生長。12例中有9例得到非常好的結果，佔75%。另外好、普通及很差各佔1例，各8.3%。 結論：此種手術治療方式在大多數的病例都得到很好的結果，並且手術過程很簡單，產生併發症的機率也不高，是一種值得推薦的選擇可用於治療鉗狀指甲變形。
關鍵字
無資料並列摘要
Background: Pincer nail was described, first by Cornelius and Shelley in 1968, as the deformity of nail with excessive transverse curvature of nail plate that increased from proximal to distal along the longitudinal axis. It may cause severe pain, inflammation and dissatisfied appearance. Aim and Objectives: The aim of this study is to collect the results of a simple, effective and nail matrix-sparing technique to treat the pincer nail deformity. Materials and Methods: From Jan. 2007 to Dec. 2007, twelve toes in ten patients with the pincer nail deformity were treated by using the technique of expanded onycho-cutaneous flap after burring of dorsal osteophyte of phalangeal bone. By evaluating the shape, relief of pain and inflammatory status, results were graded as excellent, good, fair, or poor. Results: Nine nails (75%) achieved excellent result, one (8.3%) good result, one (8.3%) fair result and one (8.3%) poor result. Conclusion: Satisfied results were achieved in most nails treated by this surgical technique without any severe complications. Onycho-cutaneous flap is easy to perform, with low morbidity and can be a good option for treatment of pincer nail deformity.