甲板近端开孔减压术治疗甲下血肿61例疗效观察OA
Observation on the therapeutic effect of decompression surgery with proximal nail plate trephination in 61 cases of subungual hematoma
目的 探讨甲板近端开孔减压术治疗甲下血肿的临床效果以及预后.方法 纳入2016年3月1日至2024年4月20日在武警河南省总队医院皮肤科门诊就诊的甲下血肿患者61例,依据甲下血肿面积占指甲面积比例以及波动感和胀痛程度,在肢端神经阻滞麻醉下行甲板近端开孔减压术排出血肿,术后常规换药,观察疗效.结果 术后7 d,61例患者中痊愈56例(91.80％),显效5例(8.20％),无效0例,有效率为100％.术后1～3个月面诊或者微信随访,未发现有明显指甲缺损以及外观畸形的病例.结论 甲板近端开孔减压术治疗甲下血肿临床应用效果明显,疗效确切,预后较好.
Objective To explore the clinical effect and prognosis of decompression surgery with proximal nail plate trephination for the treatment of subungual hematoma.Methods A total of 61 patients with subungual hematoma treated at the Dermatology Clinic of Henan Provincial Armed Police Corps Hospital between March 1,2016,and April 20,2024,were enrolled.Ac-cording to the proportion of the area of the nail hematoma to the nail area,and the severity of the fluctuation sensation and swelling pain of the hematoma,decompression surgery with proximal nail plate trephination was performed to drain the blood under digital nerve anesthesia.Postoperative routine dressing changes were performed,and therapeutic outcomes were observed.Results Sev-en days after the surgery,the effective rate was 100％,with complete recovery in 56 cases(91.80％)and marked improvement in 5 cases(8.20％).Follow-up through in-person consulta-tions or WeChat at 1-3 month post-surgery revealed no significant nail plate defects or cosmetic de-formities.Conclusion Decompression with proximal nail plate trephination is effective for subun-gual hematoma,with a favorable prognosis.
王化锋;何鑫;任天胜;刘贻华;马战胜;段峰
武警河南省总队医院皮肤科,河南 郑州 450000武警河南省总队医院皮肤科,河南 郑州 450000武警河南省总队医院皮肤科,河南 郑州 450000武警河南省总队医院皮肤科,河南 郑州 450000武警河南省总队医院皮肤科,河南 郑州 450000武警河南省总队医院皮肤科,河南 郑州 450000
甲下血肿指甲趾甲开孔减压术血肿
subungual hematomafinger nailtoenaildecompression surgery with open-inghematoma
《皮肤性病诊疗学杂志》 2025 (4)
246-250,5
评论