皮肤性病诊疗学杂志2025，Vol.32Issue(4)：246-250,5.DOI:10.3969/j.issn.1674-8468.2025.04.003
甲板近端开孔减压术治疗甲下血肿61例疗效观察
Observation on the therapeutic effect of decompression surgery with proximal nail plate trephination in 61 cases of subungual hematoma
王化锋 1何鑫 1任天胜 1刘贻华 1马战胜 1段峰1
作者信息
- 1. 武警河南省总队医院皮肤科,河南 郑州 450000
- 折叠
摘要
Abstract
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.关键词
甲下血肿/指甲/趾甲/开孔减压术/血肿Key words
subungual hematoma/finger nail/toenail/decompression surgery with open-ing/hematoma引用本文复制引用
王化锋,何鑫,任天胜,刘贻华,马战胜,段峰..甲板近端开孔减压术治疗甲下血肿61例疗效观察[J].皮肤性病诊疗学杂志,2025,32(4):246-250,5.
