改良甲板及甲基质部分切除治疗嵌甲性甲沟炎的有效性及安全性探讨  

Discussion on the Effectiveness and Safety of Improved Partial Resection of Nail Plate and Onychostroma in the Treatment of ingrown Toenail Paronychia

作　　者：张义鹏 马志强 范相举 刘军国 ZHANG Yipeng;MA Zhiqiang;FAN Xiangju;LIU Junguo(Department of Hand and Foot Surgery,Jining Third People's Hospital,Jining 271000,Shandong,China)

机构地区：[1]济宁市第三人民医院手足外科,山东济宁271000

出　　处：《中外医疗》2024年第18期34-37,共4页China & Foreign Medical Treatment

摘　　要：目的探讨改良的甲板及甲基质部分切除治疗嵌甲性甲沟炎的有效性及安全性。方法便利选取2021年2月—2022年11月济宁市第三人民医院手足外科收治的76例嵌甲性甲沟炎患者为研究对象,按照手术方法的不同分为两组,每组38例,对照组患者接受部分拔甲术或者全拔甲术治疗,干预组行改良的甲板及甲基质部分切除手术治疗,比较两组的痊愈率、术后换药情况、创面愈合时间、术后不良反应发生率、疼痛评分。结果干预组痊愈率为97.37%,高于对照组的78.95%,差异有统计学意义(χ^(2)=6.176,P<0.05)。干预组术后首次换药时间长于对照组,术后平均换药次数少于对照组,术后创面愈合时间短于对照组,静息疼痛评分、行走疼痛评分均低于对照组,差异有统计学意义(P均<0.05)。结论改良的甲板及甲基质部分切除应用于嵌甲性甲沟炎治疗中的效果显著,能促进疾病痊愈,改善临床症状,提高患者生活质量。Objective To explore the effectiveness and safety of improved partial vesection of nail plate and Ony-chostroma for the treatment of ingrown toenail paronychia.Methods A total of 76 patients with ingrown toenail paro-nychia admitted to the Department of Hand and Foot Surgery of the Jining Third People's Hospital from February 2021 to November 2022 were conveniently selected as the study objects.They were divided into two groups according to dif-ferent surgical methods,with 38 cases in each group.The control group received partial or total nail removal surgery,and the intervention group received partial resection of nail plate and onychostroma.The recovery rate,postoperative dressing change,wound healing time,postoperative adverse reaction rate,and pain score were compared between the two groups.Results The recovery rate of intervention group was 97.37%,higher than 78.95%of control group,the dif-ference was statistically significant(χ^(2)=6.176,P<0.05).The first dressing change time in the intervention group was longer than that in the control group,the average dressing change times were less than that in the control group,the postoperative wound healing time was shorter than that in the control group,and the score of resting pain and walking pain were lower than that in the control group,the differences were statistically significant(all P<0.05).Conclusion The modified decking and nail matrix partial excision is effective in the treatment of onychoparonychia,which can pro-mote the recovery of the disease,improve the clinical symptoms and improve the quality of life of patients.

关 键 词：改良 甲板及甲基质部分切除 嵌甲性甲沟炎 有效性 安全性 

分 类 号：R632.7[医药卫生—外科学]