[1]周 园,陈 韡,王大光. 皮肤镜联合薄层切削术治疗43例良性纵行黑甲的临床分析[J].中国美容医学,2018,(08):12-15.
 ZHOU Yuan,CHEN Wei,WANG Da-guang. Clinical Analysis of Dermoscopy Combined with Shave Operation for the Treatment of 43 Cases of Benign Longitudinal Melanonychia[J].Medical Aesthetics and Beauty,2018,(08):12-15.
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 皮肤镜联合薄层切削术治疗43例良性纵行黑甲的临床分析
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年08期
页码:
12-15
栏目:
出版日期:
2018-09-10

文章信息/Info

Title:
 Clinical Analysis of Dermoscopy Combined with Shave Operation for the Treatment of 43 Cases of Benign Longitudinal Melanonychia
文章编号:
1008-6455(2018)08-0012-04
作者:
 周 园陈 韡王大光
Author(s):
 ZHOU Yuan CHEN Wei WANG Da-guang
关键词:
 [关键词]黑甲皮肤镜薄层切削术治疗
Keywords:
 Key words: melanonychia dermoscopy shave operation treatment
分类号:
R758.72
文献标志码:
A
摘要:
[摘要]目的:评价皮肤镜联合薄层切削术治疗良性纵行黑甲的临床疗效及不良反应。方法:选择43例纵行黑甲患者,利用皮
肤镜初步判断所有病例均为良性,然后采取薄层切削术完整切除病变的甲母质并送病理,术后随访3个月、6个月和1年的效
果。结果:43例患者中,皮肤镜结果显示灰色背景的纵行黑甲患者10例,棕色背景条带伴或不伴规则线条的黑甲患者33例。
2例患者出现哈钦森征,分别为7岁和8岁儿童。皮肤镜结果初步判定43例患者为良性纵行黑甲,并且所有患者术后病理结果
均证实为良性黑甲。术后随访结果显示甲板恢复基本正常29例(67.4%),黑甲部分复发5例(11.6%),甲板缺损、裂缝7例
(16.3%),形成甲胬肉2例(4.7%)。结论:皮肤镜在鉴别黑甲的良恶性中具有诊断价值,可用于指导后续诊疗。薄层切削
术治疗良性纵行黑甲疗效较好,术后甲营养不良发生风险低,但术后需密切随访复发。

Abstract:
Abstract: Objective To evaluate the clinical efficacy and postoperative complications of dermoscopy combined with shave
operation for the treatment of benign longitudinal melanonychia. Methods A total of 43 longitudinal melanonychia patients were
enrolled for the study and were all primarily identified as benign lesions by dermoscopy. Then, shave operation was performed
to remove the abnormal nail matrix which was sent for pathological examination afterwards. The recovery of nail growth was
evaluated for three-months, six-months and one-year follow-up after surgery, respectively. Results Dermoscopy examination
showed that 10 cases developed melanonychia with grayish background of the band and 33 cases with brown background of the
band with or without regular lines. Hutchinson’s sign was presented in 2 cases who were children aged 7 and 8 respectively. All
43 cases were primarily considered as benign lesions by dermoscopy and the followed shave operation confirmed them. During
the follow-up, the nail plates of 29 patients almost returned to normal (67.4%) whereas 5 patients had recurrence of pigmentation
(11.6%), 7 patients appeared nail plate defect or fissure (16.3%) and 2 cases developed nail pterygium (4.7%). Conclusion
Dermoscopy is of diagnostic value in the identification of benign and malignant melanonychia and can provide guidance for further
therapy. Shave operation shows a favorable efficacy in the treatment of benign longitudinal melanonychia and the risk of nail
dystrophy is relatively low, but we should pay close attention to the recurrence of pigmentation.

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更新日期/Last Update: 2018-10-11