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[目的]探讨足趾甲下外生骨疣的分型与手术切口选择策略,分析甲床处理的方法。[方法]2008年1月~2013年12月,本院收治的足趾甲下外生骨疣患者共计23例,根据体检与足部正、侧位X线片,判断病灶部位与甲床的关系,分型为I型与II型。采取不同切口与甲床处理方式,随访终点记录患者趾甲生长情况与患者满意度。[结果]23例患者,男7例,女16例。左足9例,右足14例。平均年龄(24.4±11.9)岁(13~56岁),病程14.0个月(2~108个月)。随访时间18~61个月,平均24.2个月。病灶均位于趾骨末节,母趾19例,第2趾1例,第3趾1例,第4趾2例。分型为IA 2例,IB与IC 6例,IIA 7例,IIB 6例,第4趾末节趾甲床成形2例。[结论]足趾甲下外生骨疣,根据病灶部位与甲床的关系,选择合适切口与甲床处理方式,有助于提高优良率。
[Objective] To investigate the classification of exostosis and choice of surgical incision in the toenail, and to analyze the method of nail bed treatment. [Methods] From January 2008 to December 2013, a total of 23 cases of exostosis of toenails were treated in our hospital. According to physical examination and orthognathic and lateral radiographs, the relationship between lesion sites and nail beds , Type I and type II. Take different incision and nail bed treatment, the end of follow-up record of patients with nail growth and patient satisfaction. [Results] 23 patients, 7 males and 16 females. Left foot in 9 cases, right foot in 14 cases. The average age (24.4 ± 11.9) years (13 to 56 years), duration of 14.0 months (2 to 108 months). Follow-up time was 18 to 61 months, an average of 24.2 months. The lesions were all located in the phalanges of the phalanges. There were 19 cases of mother toe, 1 case of the second toe, 1 case of the third toe and 2 cases of the fourth toe. There were 2 cases of IA, 6 cases of IB and IC, 7 cases of IIA, 6 cases of IIB, and 2 cases of the fourth toe nails. [Conclusion] The exostosis of the toenail can be selected according to the relationship between the site of the lesion and the nail bed. It is helpful to choose the appropriate incision and nail bed treatment to improve the excellent and good rate.