Abstract: 【Abstract】〓Objective〓To introduce the experience and effect of the vertical half mattress suture combined with nail groove reconstruction for treatment of ingrown toenails paronychia. Methods A total of 128 patients with recurrent embedded with paronychia were selected in the study. According to the surgical approaches, 64 foot paronychia underwent vertical half a mattress suture with a groove revascularization (treatment group) and 64 received partial or full armor pull (control group). The clinical effect was evaluated between two groups in 12 month-follow-up after operation. Results〓All patients got good follow-up, the treatment group had a recurrence of 6 cases (9.375%), control group 19 cases (29.687%). The numbers of recurrence cases, pain, infection, and deformity in treatment group were lower than that in control (P<0.05). Conclusion〓The vertical half mattress suture combination with nail groove reconstruction is reliable, and simple surgical technique with low recurrence rate, and worthy of promotion.

Key words: Vertical half mattress suture, Nail groove reconstruction, Ingrown toenail, Paronychia

摘要： 【摘要】〓目的〓探讨垂直半褥式缝合结合甲沟重建手术治疗足复发性嵌甲型甲沟炎的临床疗效。方法〓选择2011年6月~2013年6月我院收治的复发性嵌甲型甲沟炎患者,包括采用垂直半褥式缝合结合甲沟重建术治疗64例(垂直半褥式缝合组),采用部分或全拔甲术治疗64例(拔甲组)。比较两组术后12个月临床疗效。结果〓采用垂直半褥式缝合治疗的患者中复发6例(9.375%),拔甲组患者复发19例(29.687%),并且在疼痛比较、感染及畸形程度等比较上两组差异具有显著性意义(P<0.05)。结论〓垂直半褥式缝合结合甲沟重建治疗复发性嵌甲型甲沟炎疗效可靠,复发率低。

关键词: 垂直半褥式缝合, 甲沟重建, 嵌甲, 甲沟炎