Haneke E, Baran R, Bureau H
Z Hautkr. 1982 Aug 1;57(15):1107-16.
Operations of the nail apparatus are done under sterile conditions and regional anaesthesia and in local anaemia. The knowledge of the complicated anatomy and physiology is the prerequisite for good surgical results. Nail extractions are commonly done too frequently. Subungual haematomas require a different treatment depending on the severity. Removal of the proximal third of the nail plate quickly clears acute paronychia resistent to antibiotics. The treatment of choice for the ingrown toenail is the surgical narrowing of the matrix. Kind and size of subungual tumours determine their surgical treatment. Diagnostic nail biopsies are best performed laterally.
甲器手术在无菌条件下、局部麻醉和局部贫血状态下进行。了解复杂的解剖学和生理学知识是取得良好手术效果的前提。拔甲操作通常过于频繁。甲下血肿需根据严重程度进行不同的治疗。切除甲板近端三分之一可迅速清除对抗生素耐药的急性甲沟炎。嵌甲的首选治疗方法是手术缩小甲床。甲下肿瘤的种类和大小决定其手术治疗方式。诊断性甲活检最好从侧面进行。
