弧形开窗引流术治疗甲根脓肿72例疗效观察  

Curved fenestration and drainage procedure for the treatment of 72 cases of nail root abscess

作　　者：王化锋 段峰 任天胜 谢明忠 刘贻华 Wang Huafeng;Duan Feng;Ren Tiansheng;Xie Mingzhong;Liu Yihua(Department of Dermatology,Henan Armed Police Corps Hospital,Zhengzhou 450000,China)

机构地区：[1]武警河南省总队医院皮肤科,郑州450000

出　　处：《中华皮肤科杂志》2022年第7期610-611,共2页Chinese Journal of Dermatology

摘　　要：目的探讨弧形开窗引流术治疗甲根脓肿的临床效果。方法2018年6月至2020年10月于武警河南省总队医院皮肤外科纳入72例甲根脓肿患者,根据脓肿面积大小、发病部位、严重程度,在神经阻滞麻醉下行微创弧形开窗引流术减压排脓,术后加强换药处理,观察创面伤口愈合情况。结果72例患者中,男37例,女35例,年龄39~80岁,平均年龄63岁。给予弧形开窗引流术治疗,术后15 d,痊愈66例,显效6例,有效率100%。1例因血糖控制差,甲根脓肿处开窗创口面积小而未完全消退,其他患者病情均得到有效控制。术后3个月电话随访,无明显指甲缺损或外观畸形的病例。结论弧形开窗引流术治疗甲根脓肿临床操作简单,可获得较为满意的疗效。Objective To investigate clinical efficacy of curved fenestration and drainage procedure for the treatment of nail root abscess.Methods From June 2018 to October 2020,72 patients with nail root abscess were included in Department of Dermatology,Henan Armed Police Corps Hospital.According to the size,location and severity of the abscess,minimally invasive curved fenestration and drainage procedure was performed under nerve block anesthesia to reduce the pressure and drain the pus.Dressing change was strengthened after surgery,and wound healing was monitored.Results Among the 72 patients,there were 37 males and 35 females,and their ages varied from 39 to 80 years(average:63 years).They all received curved fenestration and drainage procedure.Fifteen days after surgery,66 cases were cured,6 obtained marked improvement,and the response rate was 100%.Lesions did not completely subside in 1 patient due to poor blood glucose control and small exposure area at the fenestration site,while the condition of other patients was effectively controlled.Telephone follow-up was conducted 3 months after surgery,and no obvious nail defects or deformed appearance was observed in any of the cases.Conclusion Curved fenestration and drainage procedure is a simple approach for nail root abscess,with satisfactory efficacy.

关 键 词：指(趾)甲疾病 脓肿 引流术 甲根脓肿 开窗 

分 类 号：R758.72[医药卫生—皮肤病学与性病学]