棉条填塞联合甲襞楔形切除治疗嵌甲型甲沟炎疗效观察

doi:10.35541/cjd.20200120

摘要/Abstract

摘要： 【摘要】目的探讨棉条填塞联合甲襞楔形切除治疗嵌甲型甲沟炎的临床效果。方法将2017年8月至2019年4月宁夏医科大学总医院急诊科接诊的96例嵌甲型甲沟炎患者按照随机数字表法随机等分为对照组和治疗组，各48例，对照组采用Winograd术治疗，治疗组采用棉条填塞联合甲襞楔形切除术治疗。术后随访6 ~ 23个月。结果术后6个月时治疗组患者治愈47例（97.92%），对照组治愈41例（85.42%），两组治愈率差异有统计学意义（χ2 = 4.909，P < 0.05）。治疗组术后第3天和1个月时疼痛视觉模拟评分显著低于对照组（均P < 0.05）。治疗组术后复发率（0）和感染率（2.08%），明显低于对照组（6.25%、12.5%），差异均有统计学意义（P < 0.05）。结论棉条填塞联合甲襞楔形切除术式简单，疗效显著，术后复发率低，值得临床推广应用。

关键词: 甲沟炎, 嵌甲, 外科手术, 治疗结果, 棉条填塞, 楔形切除

Abstract: 【Abstract】 Objective To evaluate clinical effect of tampon tamponade combined with wedge resection of the nail folds in the treatment of ingrown toenail-induced paronychia. Methods A total of 96 patients with ingrown toenail-induced paronychia were collected from Department of Emergency Medicine, General Hospital of Ningxia Medical University between August 2017 and April 2019, and randomly and equally divided into 2 groups by using a random number table: control group treated surgically with the Winograd method, and treatment group treated with tampon tamponade combined with wedge resection of the nail folds. All the patients were followed up for 6 - 23 months after surgery. Results Six months after operation, 47 （97.92%） and 41 （85.42%） cases were cured in the treatment group and control group respectively, and the cure rate significantly differed between the 2 groups （χ2 = 4.909, P < 0.05）. The visual analogue scale scores for pain were significantly lower in the treatment group than in the control group on day 3 and 1 month after operation （both P < 0.05）. The postoperative recurrence rate and infection rate were 0 and 2.08% in the treatment group respectively, which were significantly lower than those in the control group（6.25%, 12.5%, respectively, both P < 0.05）. Conclusion Tampon tamponade combined with wedge resection of the nail folds is effective for the treatment of ingrown toenail-induced paronychia with a simple operative procedure and a low postoperative recurrence rate, and is worthy of clinical promotion.

Key words: Paronychia, Nails, ingrown, Surgical procedures, operative, Treatment outcomes, Tampon tamponade, Wedge-shaped resection

刘飞张宁杨建明杜武军黄存马林瑞康志学. 棉条填塞联合甲襞楔形切除治疗嵌甲型甲沟炎疗效观察[J]. 中华皮肤科杂志, 2021, 54(10): 898-900.doi:10.35541/cjd.20200120

Liu Fei, Zhang Ning, Yang Jianming, Du Wujun, Huang Cun, Ma Linrui, Kang Zhixue. Tampon tamponade combined with wedge resection of the nail folds for the treatment of ingrown toenail-induced paronychia: a clinical observation[J]. Chinese Journal of Dermatology, 2021, 54(10): 898-900.doi:10.35541/cjd.20200120

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