垂直半褥式缝合结合甲沟重建治疗嵌甲型甲沟炎的临床观察  

Effect of vertical half mattress suture combined with nail groove reconstruction for treatment of ingrown paronychia

作　　者：冯嘉威[1] 何伟东[1] 黄新宇[1] 许知光[1] 杨明明[1] 许国华[1] 

机构地区：[1]江门市人民医院骨科(南方医科大学附属非直属医院),广东江门529000

出　　处：《岭南现代临床外科》2015年第1期84-86,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨垂直半褥式缝合结合甲沟重建手术治疗足复发性嵌甲型甲沟炎的临床疗效。方法选择2011年6月-2013年6月我院收治的复发性嵌甲型甲沟炎患者,包括采用垂直半褥式缝合结合甲沟重建术治疗64例（垂直半褥式缝合组）,采用部分或全拔甲术治疗64例（拔甲组）。比较两组术后12个月临床疗效。结果采用垂直半褥式缝合治疗的患者中复发6例（9.375%）,拔甲组患者复发19例（29.687%）,并且在疼痛比较、感染及畸形程度等比较上两组差异具有显著性意义（P〈0.05）。结论垂直半褥式缝合结合甲沟重建治疗复发性嵌甲型甲沟炎疗效可靠,复发率低。Objective To introduce the experience and effect of the vertical half mattress suture combined with nail groove reconstruction for treatment of ingrown toenails paronychia. Methods A total of 128 patients with recurrent embedded with paronychia were selected in the study. According to the surgical approaches, 64 foot paronychia underwent vertical half a mattress suture with a groove revascularization（treatment group） and 64 received partial or full armor pull（control group）. The clinical effect was evaluated between two groups in 12 month-follow-up after operation. Results All patients got good follow-up, the treatment group had a recurrence of 6 cases（9.375%）, control group19 cases（29.687%）. The numbers of recurrence cases, pain, infection, and deformity in treatment group were lower than that in control（P〈0.05）. Conclusion The vertical half mattress suture combination with nail groove reconstruction is reliable, and simple surgical technique with low recurrence rate, and worthy of promotion.

关 键 词：垂直半褥式缝合 甲沟重建 嵌甲 甲沟炎 

分 类 号：R658.3[医药卫生—外科学]