棉条填塞联合甲襞楔形切除治疗嵌甲型甲沟炎疗效观察  

Tampon tamponade combined with wedge resection of the nail folds for the treatment of ingrown toenail-induced paronychia:a clinical observation

作　　者：刘飞[1] 张宁[1] 杨建明 杜武军 黄存[1] 马林瑞 康志学 Liu Fei;Zhang Ning;Yang Jianming;Du Wujun;Huang Cim;Ma Linrui;Kang Zhixue(Department of Emergency Medicine,General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学总医院急诊科,银川750004

出　　处：《中华皮肤科杂志》2021年第10期898-900,共3页Chinese Journal of Dermatology

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。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(χ^(2)=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.

关 键 词：甲沟炎 嵌甲 外科手术 治疗结果 棉条填塞 楔形切除 

分 类 号：R632.7[医药卫生—外科学]