本文選題：甲下外生骨疣　切入點：分型　出處：《中國矯形外科雜志》2017年01期 　論文類型：期刊論文

【摘要】：[目的]探討足趾甲下外生骨疣的分型與手術(shù)切口選擇策略,分析甲床處理的方法。[方法]2008年1月~2013年12月,本院收治的足趾甲下外生骨疣患者共計23例,根據(jù)體檢與足部正、側(cè)位X線片,判斷病灶部位與甲床的關(guān)系,分型為I型與II型。采取不同切口與甲床處理方式,隨訪終點記錄患者趾甲生長情況與患者滿意度。[結(jié)果]23例患者,男7例,女16例。左足9例,右足14例。平均年齡(24.4±11.9)歲(13~56歲),病程14.0個月(2~108個月)。隨訪時間18~61個月,平均24.2個月。病灶均位于趾骨末節(jié),鐷母趾19例,第2趾1例,第3趾1例,第4趾2例。分型為IA 2例,IB與IC 6例,IIA 7例,IIB 6例,第4趾末節(jié)趾甲床成形2例。[結(jié)論]足趾甲下外生骨疣,根據(jù)病灶部位與甲床的關(guān)系,選擇合適切口與甲床處理方式,有助于提高優(yōu)良率。
[Abstract]:[objective] to study the classification and surgical incision selection strategy of exophytic verruca under toe nail, and to analyze the treatment methods of nail bed. [methods] from January 2008 to December 2013, 23 patients with exophytic verruca under toe were treated in our hospital. Lateral radiographs were used to determine the relationship between the location of the lesion and the nail bed, which were classified as type I and type II. Different incision and nail bed treatments were used to record the growth of toenail and patient satisfaction at the end of follow up. [results] there were 23 patients (7 males). 16 cases were female, 9 cases were left foot, 14 cases were right foot. The mean age was 24.4 鹵11.9years old 1356 years old, the course of disease was 14.0 months or 2 ~ 108 months. The follow-up time was 18 ~ 61 months (mean 24.2 months). The lesions were located in the distal phalangeal ganglion, the female toe in 19 cases, the second toe in 1 case, the third toe in 1 case. 2 cases of the fourth toe were classified as IA (2 cases) and IC (6 cases), IIA (7 cases), IIB (6 cases), toenail bed formation (2 cases). [conclusion] according to the relationship between the location of the lesion and the nail bed, appropriate incision and nail bed treatment were selected. It is helpful to improve the excellent and good rate.
【作者單位】： 復(fù)旦大學(xué)附屬華山醫(yī)院骨科;
【分類號】：R738.3

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