【摘要】 目的 探讨甲沟炎手术后复发的原因，规范手术方法，降低复发率。方法 对30例术后复发的甲沟炎，作拔甲后电灼加88%石碳酸烧灼生发甲床。结果 随访1～3年，治愈26例，复发4例(13.3%)，符合文献报道的复发率。结论 对不同级别的甲沟炎采用不同的手术方法，电灼加88%石碳酸烧灼生发甲床是灭活后者的有效手段。

    关键词 拇趾甲沟炎 复发 生发甲床的灭活

    Surgical management on postoperative recurrence of onychocryptosis

    Wu Shouzhen，Sun Yuehua，Zhang Disheng.

    Department of General Surgery，The9th People′s Hospital affiliated to the Shanghai Second Medical University，Shanghai200011

    【Abstract】 Objective To discuss the factors responsible to the postoperative recurrence，regularize operative techniques，and eventual reduction of postoperative recurrence of onychocrytosis.Methods 1-3years follow-up study on30onychocrytosis patients suffered from postoperative recurrence.Nail avulsion(partial or total)follwed by electrocautery plus88%phenolisation on germinal matrix is the technique of choice in our Service.Results 26paˉtients were cured with a recurrence rate of13.3%which is in accordance with the average recurrence rates reported in Litterature.Conclusion Spicific technique is reserved for specific stage of onychocrytosis.Nail avusion followed by electrocautery plus88%phenolisation of the germinal matrix is our technical management. ......