改良式部分拔甲术在嵌甲型甲沟炎急诊治疗中的应用  

Application of Modified Parts of Nail Extraction for Ingrown Toenail with Paronychia in Emergency Treatment

作　　者：黄之抗[1] 庄炯宇[1] 蔡家骥[1] 

机构地区：[1]南方医科大学附属中山博爱医院,广东中山528400

出　　处：《现代临床医学》2013年第6期426-427,共2页Journal of Modern Clinical Medicine

摘　　要：目的:通过比较2种治疗嵌甲型甲沟炎的常用术式的手术用时、恢复时间、复发率,探讨适合嵌甲型甲沟炎的急诊治疗方法。方法:把153例病例分为2组,分别使用单纯拔甲术和改良式部分拔甲术治疗。收集统计2种术式的手术用时、恢复时间、复发率。分析得到手术用时短、疗效满意、复发率较低的一种术式。结果:单纯拔甲术平均用时3±0.53 min,恢复8±2.33 d,复发率68.63%;改良式部分拔甲术平均用时5±0.48 min,恢复5±1.23 d,复发率4.90%。结论:改良式部分拔甲术具有术式简单、手术创伤轻、患者恢复快、复发率低等优点,值得在急诊手术中推广。Objective: To explore a therapy for outpatients with ingrown toenail and paronychia by comparing to operative time,recovery time and the recurrence rate. Methods: 153 cases were divided into 2 groups of the modified parts of nail extraction and ordinary nail extraction for ingrown toenail with paronychia, and compared to operative time,recovery time and the recurrence rate. Results: The average operative time,the recovery time and the recurrence rate in ordinary nail extraction were 3 ± 0. 53 minutes,8 ± 2. 33 days and 68. 63% respectively; in modified parts of nail extraction were 5 ± 0. 48 minutes,5 ± 1. 23 days and 4. 90% respectively. Conclusion: The modified partial nail extraction is simple,less invasive,and quicker recovery and lower recurrence rate,which is worth promoting in outpatients of emergency.

关 键 词：嵌甲型甲沟炎 拔甲术 急诊 

分 类 号：R632.7[医药卫生—外科学]