de Jong G M, Plusjé L, van Putten S
Ziekenhuis Gelderse Vallei, afd. Chirurgie, Ede.
Contact: G. M. de Jong (
Ned Tijdschr Geneeskd. 2020 Nov 18;164:D5426.
Ingrown toenails (also called unguis incarnatus) are a common problem in the general population. In early 2020, the medical specialists' guideline "Ingrown toenail" was published in which the various treatment options are compared. Conservative treatment can be considered for stage I ingrown toenails. In stage II-III ingrown toenails and failing conservative treatment, operative treatment is recommended consisting of partial nail extraction from the ingrown nail edge in combination with destruction of the corresponding part of the matrix. There doesn't seem to be any reason to deviate from the advice in the case of a recurring ingrown toenail or an ingrown toenail in a patient with expected wound healing problems. A detailed elaboration of the guideline, which also contains a step-by-step operative approach, can be found on the Guidelines database (https://richtlijnendatabase.nl/).
嵌甲（也称为甲内生）是普通人群中的常见问题。2020年初，发布了医学专家指南《嵌甲》，其中比较了各种治疗方案。对于I期嵌甲可考虑保守治疗。对于II - III期嵌甲以及保守治疗失败的情况，建议采用手术治疗，即从嵌甲边缘部分拔除指甲，并结合破坏甲床的相应部分。对于复发性嵌甲或预期有伤口愈合问题的患者出现嵌甲的情况，似乎没有理由偏离该建议。该指南的详细阐述，其中还包含逐步的手术方法，可在指南数据库（https://richtlijnendatabase.nl/）上找到。
