甲母质、甲床部分切除结合甲沟重建治疗嵌甲性甲沟炎的临床观察
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摘要
目的分析嵌甲性甲沟炎应用甲床、甲母质部分切除联合甲沟重建治疗的临床效果。方法选择该院2015年7月—2018年2月诊治的76例嵌甲性甲沟炎患者,随机分成研究组(38例)和对照组(38例)。对照组接受全甲拔除术治疗,研究组予以甲床、甲母质部分切除与甲沟重建联合治疗,比较两组临床疗效。结果研究组术后疼痛度(2.82±0.52)分、换药次数(6.36±1.42)次、愈合时间(14.65±1.32)d,优于对照组(P<0.05);研究组一次治愈率92.11%、畸形率2.63%、感染率5.26%、复发率7.89%,均低于对照组(P<0.05)。结论嵌甲性甲沟炎实施甲沟重建联合甲床、甲母质部分切除治疗,可有效缩短愈合时间,降低复发率、感染率和畸形率,治愈效果显著。
Objective To analyze the clinical effect of partial nail resection combined with nail groove reconstruction in the treatment of nail incarceration. Methods Seventy-six patients with inguinal paronychia in our hospital from July2015 to February 2018 were randomly divided into study group(38 cases) and control group(38 cases). The control group received full-arm removal surgery. The study group received a combined treatment of nail bed and nail matrix removal and reconstruction of the nail groove. Clinical efficacy of the two groups was compared. Results The postoperative pain was(2.82±0.52) points, the number of dressing changes(6.36±1.42)times, and the healing time(14.65±1.32)d, which was better than the control group(P<0.05). The cure rate of the study group was 92.11. The percentage of malformation was 2.63%, the infection rate was 5.26%, and the recurrence rate was 7.89%, which was lower than that of the control group(P<0.05). Conclusion The implementation of a nail groove reconstruction combined with nail bed and nail matrix resection can effectively shorten the healing time, reduce the recurrence rate, infection rate and deformity rate, and have a significant healing effect.
Objective To analyze the clinical effect of partial nail resection combined with nail groove reconstruction in the treatment of nail incarceration. Methods Seventy-six patients with inguinal paronychia in our hospital from July2015 to February 2018 were randomly divided into study group(38 cases) and control group(38 cases). The control group received full-arm removal surgery. The study group received a combined treatment of nail bed and nail matrix removal and reconstruction of the nail groove. Clinical efficacy of the two groups was compared. Results The postoperative pain was(2.82±0.52) points, the number of dressing changes(6.36±1.42)times, and the healing time(14.65±1.32)d, which was better than the control group(P<0.05). The cure rate of the study group was 92.11. The percentage of malformation was 2.63%, the infection rate was 5.26%, and the recurrence rate was 7.89%, which was lower than that of the control group(P<0.05). Conclusion The implementation of a nail groove reconstruction combined with nail bed and nail matrix resection can effectively shorten the healing time, reduce the recurrence rate, infection rate and deformity rate, and have a significant healing effect.
引文
[1]钱海兵,赵刚.甲床甲母质部分切除术对嵌甲甲沟炎的疗效及术后甲沟感染再发的影响[J].中国煤炭工业医学杂志,2016,19(10):1421-1424.
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[3]苏卓华,张丽,苏惠娴,等.甲床甲母质部分切除术治疗嵌甲甲沟炎的临床疗效观察[J].中国临床新医学,2017,10(3):239-241.
[4]李攀登,陈润芳,张远贵,等.甲母质部分切除联合甲沟重建治疗嵌甲性甲沟炎[J].中国美容整形外科杂志,2016,27(12):737-739.
[5]楼俊晓,冯微.嵌甲性甲沟炎患者采用甲母质、甲床部分切除联合甲沟重建术治疗疗效及减轻疼痛的作用分析[J].浙江创伤外科,2017,22(3):495-496.
[2]柳剑华,袁建军,冯大江,等.甲床甲母质部分切除术治疗嵌甲甲沟炎的疗效[J].贵阳医学院学报,2015,40(9):1005-1007.
[3]苏卓华,张丽,苏惠娴,等.甲床甲母质部分切除术治疗嵌甲甲沟炎的临床疗效观察[J].中国临床新医学,2017,10(3):239-241.
[4]李攀登,陈润芳,张远贵,等.甲母质部分切除联合甲沟重建治疗嵌甲性甲沟炎[J].中国美容整形外科杂志,2016,27(12):737-739.
[5]楼俊晓,冯微.嵌甲性甲沟炎患者采用甲母质、甲床部分切除联合甲沟重建术治疗疗效及减轻疼痛的作用分析[J].浙江创伤外科,2017,22(3):495-496.