De Berker D A, Langtry J
Departments of Dermatology, Bristol Royal Infirmary, Bristol BS2 8HW, U.K.
Br J Dermatol. 1999 May;140(5):915-8. doi: 10.1046/j.1365-2133.1999.02825.x.
Twenty-one patients (11 female, 10 male: mean age 21.3 years) with subungual exostoses were treated with elective surgery under local anaesthetic in a dermatology day case theatre over a period of 8 years. Fifteen (71%) tumours affected the great toe, four (19%) affected other toes and two (10%) affected fingers. All received local excision with great care to remove all tumour residue from the terminal phalanx. Wounds were allowed to heal by secondary intention. Attention was paid to preoperative antiseptic procedure and postoperative analgesia. During follow-up of between 6 and 36 months (mean 17 months), there were two relapses (10%) in the first 12 months, seen in two of the younger subjects aged 9 and 13 years. One required further surgery. One further case suffered long-term dystrophy due to perioperative damage to nail matrix. Conservative and thorough treatment of this pathology can be achieved using the appropriate tools in a dermatology day case theatre.
21例甲下外生骨疣患者（11例女性，10例男性：平均年龄21.3岁）在8年的时间里于皮肤科日间手术室接受了局部麻醉下的择期手术。15例（71%）肿瘤累及拇趾，4例（19%）累及其他脚趾，2例（10%）累及手指。所有患者均接受了局部切除，术中十分小心地从末节指骨清除所有肿瘤残余。伤口通过二期愈合。术前注重消毒程序，术后注重镇痛。在6至36个月（平均17个月）的随访期间，最初12个月内有2例复发（10%），见于2名年龄分别为9岁和13岁的较年轻患者。其中1例需要进一步手术。另有1例因围手术期甲床损伤而出现长期营养不良。在皮肤科日间手术室使用合适的工具可以对这种病症进行保守且彻底的治疗。
