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