双层人工真皮重建甲床治疗嵌甲：1例报告及文献复习
Reconstruction of a nail bed with double-layer artificial dermis for a pincer nail: A case report and literature review.
作者信息
Deng Weicong, Zhou Zelin, Leng Bo, Zeng Xinming, Shen Zi, Hong Yongchang
机构信息
Department of Hand Microvascular Surgery, Affiliated Dongguan Hospital, Southern Medical University, Dongguan, China.
The First Clinical Medical School, The First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou, China.
出版信息
Front Surg. 2023 Jan 9;9:1047171. doi: 10.3389/fsurg.2022.1047171. eCollection 2022.
BACKGROUND
A pincer nail (PN) is a type of nail deformity. Although it is a minor ailment, it can cause intractable pain, affecting daily work and life. Currently, there is no standard invention for PN. The main purpose of treatment is to correct the curvature of the nail, so we apply double-layer artificial dermis (DLAD), a novel treatment, for PN according to this aim.
CASE PRESENTATION
A 40-year-old man suffering from PN was treated with DLAD. After 1 year of follow-up, the patient's great toenail plate of the right foot was completely grown out. His pain was relieved, and the curvature of the toenail was corrected.
CONCLUSION
The innovative method of using DLAD to fill the ingrown nail bed not only solves the problem of recurrent pincer nail deformity but also restores the original appearance of the toenail. It suggested that this simple procedure can be widely applied in clinical practice.
背景
钳形甲是一种指甲畸形。虽然它是一种小病，但会引起难以忍受的疼痛，影响日常工作和生活。目前，对于钳形甲尚无标准的治疗方法。治疗的主要目的是矫正指甲的弯曲度，因此我们根据这一目标应用双层人工真皮（DLAD）这种新的治疗方法来治疗钳形甲。
病例介绍
一名40岁患有钳形甲的男性接受了双层人工真皮治疗。经过1年的随访，患者右脚的大脚趾甲完全长出。疼痛缓解，趾甲弯曲度得到矫正。
结论
使用双层人工真皮填充嵌甲床的创新方法不仅解决了复发性钳形甲畸形的问题，还恢复了趾甲的原始外观。这表明这种简单的手术可在临床实践中广泛应用。
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