在甲床染色后，使用二氧化碳激光进行部分甲床切除术治疗嵌甲。
Partial matricectomy with a CO2 laser for ingrown toenail after nail matrix staining.
作者信息
Ozawa Toshiyuki, Nose Kensuke, Harada Teruichi, Muraoka Michinari, Ishii Masamitsu
机构信息
Department of Plastic and Reconstructive Surgery, Osaka City University, Graduate School of Medicine, Abeno, Osaka, Japan.
出版信息
Dermatol Surg. 2005 Mar;31(3):302-5. doi: 10.1111/j.1524-4725.2005.31078.
BACKGROUND
Ingrown toenail is a common nail disease that causes pain, discomfort, and difficulty in walking. It is treated with either conservative therapy or surgery.
OBJECTIVE
To present a new surgical approach to ingrown toenail.
MATERIALS AND METHODS
For 19 ingrown toenail borders of 14 toes in 14 patients (1 male and 13 females), the nail matrix was stained with methylene blue and then partial matricectomy was performed with a CO2 laser.
RESULTS
There was no recurrence at 18 nail borders after a mean follow-up period of 13.4 months, whereas a spike grew at one border but caused no walking pain. No serious complications occurred. Cosmetic improvement was also satisfactory.
CONCLUSIONS
Partial nail matricectomy with a CO2 laser after staining the nail matrix with methylene blue allows visual confirmation of the completeness of cauterization.
背景
嵌甲是一种常见的指甲疾病，会导致疼痛、不适和行走困难。其治疗方法包括保守治疗或手术治疗。
目的
介绍一种治疗嵌甲的新手术方法。
材料与方法
对14例患者（1例男性，13例女性）的14个脚趾的19个嵌甲边缘，用亚甲蓝对甲床进行染色，然后用二氧化碳激光进行部分甲床切除术。
结果
平均随访13.4个月后，18个指甲边缘无复发，而1个边缘长出了小刺，但未引起行走疼痛。未发生严重并发症。外观改善也令人满意。
结论
用亚甲蓝对甲床染色后，用二氧化碳激光进行部分甲床切除术可直观确认烧灼的完整性。
Zotero 插件