含银聚酰胺网纱填塞治疗足嵌甲型甲沟炎的疗效观察  

The study of silver-containing polyamide mesh in the treatment of ingrown toenail

作　　者：邱硕 徐蓉蓉[1] 曹燕 杨玉坤[1] 周洁松[1] 方硕[1] 陶然[1] QIU Shuo;XU Rongrong;CAO Yan;YANG Yukun;ZHOU Jiesong;FANG Shuo;TAO Ran(Plastic Surgery Department of Changhai Hospital,Shanghai 200433,China)

机构地区：[1]上海长海医院整形外科,上海200433

出　　处：《中国美容整形外科杂志》2024年第11期673-675,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 探讨含银聚酰胺网纱填塞治疗足嵌甲型甲沟炎的临床效果。方法 回顾性分析自2021年10月至2022年10月,上海长海医院整形外科接诊的经填塞法治疗147例足嵌甲型甲沟炎患者的临床资料。根据填塞材料不同(纱布纤维球或含银聚酰胺网纱),将患者分为纱布纤维球组(68例)和含银聚酰胺网纱组(79例)。分别观察治疗后第1天和第7天的疼痛评分;因疼痛自行拔出或要求医师拔出填塞物的例数;治疗结束前,填塞物自行脱落的例数;拔出填塞物3个月时的治疗效果。结果 含银聚酰胺网纱组:患者术后疼痛程度较轻,无患者因疼痛自行拔出或要求医师拔出填塞物,含银聚酰胺网纱自行脱落2例,拔出填塞物3个月时治愈率为93.7%;纱布纤维球组:术后疼痛明显,因疼痛自行或要求医师拔出填塞物的共9例,自行脱落8例,拔出填塞物3个月时治愈率为73.5%。结论 含银聚酰胺网纱填塞治疗足嵌甲型甲沟炎操作简单、疼痛轻微,治愈率较高,值得临床推广应用。Objective To explore the clinical efficacy of silver-containing polyamide mesh in the treatment of ingrown toenail.Methods A retrospective analysis was conducted based on the clinical data of 147 patients with ingrown toenail paronychia in the Department of Plastic Surgery of Changhai Hospital from October 2021 to October 2022.According to the different materials(gauze fiber balls or silver-containing polyamide mesh),Patients were divided into gauze fiber ball group(68 patients)and silver polyamide mesh group(79 patients).We analyzed the pain scores on the first and seventh days after treatment,the cases which the inserted material had been removed by patients'self or the doctor because of pain,the cases which the dressing self-fell off before removal,and the treatment efficacy at the third month after removal of the dressing.Results Silver-containing polyamide mesh group:patients had mild postoperative pain,and no patient pull the padding out by self or requested the doctor to do that,two mesh fell out,and the cure rate at the third month after removal of the dressing was 93.7%.Gauze fiber ball group:obvious postoperative pain,nine patients pulled the padding out by self or requested the doctor to do that because of unbearable pain,eight balls fell out,and the cure rate at the third month after removal of the padding was73.5%.Conclusion The silver-containing polyamide mesh is a suitable padding material for ingrown toenail.The advantages include easy to handle,less painful,and has a higher cure rate,which has clinical value for promotion and application.

关 键 词：甲沟炎 嵌甲 含银聚酰胺网纱 

分 类 号：R758.72[医药卫生—皮肤病学与性病学]