手术治疗嵌甲
2018年02月08日 8774人阅读 返回文章列表
WinogradProcedureforIngrownToenail
Winograd手术治疗嵌甲
Overview(概述)
Thisprocedureisusedtoremovetheproblemportionofaningrowntoenailandtopreventtheingrowntoenailfromrecurring.Thisprocedureisperformedunderlocalanesthetic,andtakesonlyafewminutestoperform.
这个手术是用来治疗脚趾嵌甲症的病变部分,并防止嵌甲复发。手术在局部麻醉下进行,仅需要几分钟即可完成。
Preparation(准备)
Inpreparationfortheprocedure,thetoeiswashedandaconstrictingbandisplacedaroundthetoetoreducebloodflow.Thesurgeonadministersinjectionsoflocalanesthetictonumbthetoe.
准备手术时,对脚趾进行清洁消毒,并在脚趾周围扎上弹力带以减少血流量。外科医生注射局部麻醉剂对脚趾进行麻醉。
CorrectingtheIngrownToenail(矫正嵌甲)
Thesurgeoncreatesanincisionthatsplitstheingrownedgeofthetoenailfromtherestofthenailandcontinuesdownthroughthetissuebeneaththenailtothesurfaceofthebone.Thesurgeonthencreatesasecondincisiondownthroughtheoverlappingtissueontheouteredgeofthenail.Thiswedgeofnailandtissueiscarefullyfreedandremovedfromthetoe,permanentlyeliminatingtheingrownedgeofthenailandresultinginaslightlythinnertoenail.
外科医生作一个切口,将向内生长趾甲的边缘从其余趾甲上劈下,并经过趾甲下方的组织直达骨头表面。然后,外科医生通过指甲外缘的重叠组织做第二个切口向下切开。将这部分甲缘和组织小心地从脚趾游离并切除,永久性地去除趾甲向内生长的边缘,使趾甲略微变窄。
EndofProcedureandAftercare(手术结束和术后护理)
Whentheprocedureiscomplete,thesurgeonclosestheoperativesitewithsuturesorskinclosures.Theconstrictingbandisremoved,andthetoeisbandagedandwrapped.Afterfourweeksofhealing,thepatientwillbeabletoweararegularshoe.
手术完成后,外科医生用缝线或皮肤闭合器关闭手术切口。去除弹力带,脚趾用绷带包裹。经过四周的愈合,病人将能够正常穿鞋。