甲皱襞新月形切除联合甲下置管术治疗甲沟炎的疗效观察  

Therapeutic Efficacy of Nail Fold Crescent Excision Combined with Subungual Tube Placement in the Treatment of Paronychia

作　　者：肖俊辉 熊邦文 XIAO Junhui;XIONG Bangwen(Department of Emergency Medicine Section Two,Hunan Provincial People's Hospital,Changsha,Hunan Province,410005 China)

机构地区：[1]湖南省人民医院急诊二部,湖南长沙410005

出　　处：《系统医学》2024年第11期55-57,共3页Systems Medicine

摘　　要：目的 研究甲皱襞新月形切除联合甲下置管术治疗甲沟炎的疗效。方法 选取2022年1月—2023年12月湖南省人民医院收治的60例甲沟炎患者为研究对象,利用随机数表法将其分为对照组(行改良部分拔甲术)与研究组(行甲皱襞新月形切除术联合甲下置管术),各30例。比较两组患者临床疗效及恢复情况。结果 治疗后,研究组患者治愈率(93.33%)高于对照组(73.33%),差异有统计学意义(χ^(2)=4.320,P<0.05)。对照组复发率(23.33%)高于研究组(3.33%),但差异无统计学意义(χ^(2)=3.666,P>0.05)。研究组治愈患者术后创面干燥时间及愈合时间均短于对照组,差异有统计学意义(P均<0.001)。结论 采用皱襞新月形切除联合甲下置管术治疗甲沟炎,可取得较为满意的疗效,恢复快。Objective To study the efficacy of nail fold crescent excision combined with subungual tube placement in the treatment of paronychia.Methods 60 patients with paronychia admitted to Hunan Provincial People's Hospital from January 2022 to December 2023 were selected as the study objects,and were divided into control group(modi-fied partial extraction)and study group(nail fold crescent resection combined with subungual tube placement)by ran-dom number table method,with 30 cases in each group.The clinical efficacy and recovery of patients in the two groups were compared.Results The cure rate of patients in the study group after treatment(93.33%)was higher than that of the control group(73.33%),and the difference was statistically significant(χ^(2)=4.320,P<0.05).The recurrence rate of the control group(23.33%)was higher than that of the study group(3.33%),but the difference was not statisti-cally significant(χ^(2)=3.666,P>0.05).Postoperative wound drying time and healing time of cured patients were signifi-cantly shorter in the study group than those in the control group,and the differences were statistically significant(both P<0.001).Conclusion The use of nail fold crescent excision combined with subungual tube placement for the treat-ment of paronychia can achieve more satisfactory efficacy,with a fast recovery.

关 键 词：嵌甲性甲沟炎 甲皱襞新月形切除 甲下置管 

分 类 号：R632.7[医药卫生—外科学]