改良Vandenbos手术治疗嵌甲的临床研究  

Study on the improved Vandenbos surgery for the treatment of ingrown nails

作　　者：班超 樊世鹏 李劲涛 张斌[1] BAN Chao;FAN Shipeng;LI Jintao;ZHANG Bin(Second Affiliated Hospital of Henan University of Science and Technology;Beijing University of Traditional Chinese Medicine Dongzhimen Hospital Luoyang Hospital,Luoyang 471000,China)

机构地区：[1]河南科技大学第二附属医院 [2]北京中医药大学东直门医院洛阳医院,河南洛阳471000

出　　处：《皮肤性病诊疗学杂志》2024年第12期832-835,共4页Journal of Diagnosis and Therapy on Dermato-venereology

摘　　要：目的探讨改良Vandenbos手术术式治疗嵌甲的临床效果。方法回顾性分析2020—2023年在我院皮肤外科采用改良Vandenbos手术治疗的53例嵌甲患者,统计创面愈合时间和复发率。采用欧洲健康指数量表(EuroQol)比较患者术前及术后6个月在行动能力、自我照顾、日常活动、疼痛/不适、焦虑/抑郁5个维度的变化。结果53例患者平均创面愈合时间19.71 d。术后6个月,复发率为1.88%,患者在行动能力、自我照顾、日常活动、疼痛/不适、焦虑/抑郁5个维度均较术前有明显改善,差异均有统计学意义(均P<0.001)。结论改良Vandenbos手术术式保持了低复发率,缩短了创面愈合时间,在疼痛、功能状态和生活质量方面都有显著改善,在临床实践中具有一定的应用价值。Objective To explore the clinical efficacy of the improved Vandenbos surgical procedure for the treatment of ingrown nails.Methods Clinical data of 53 patients with ingrown nails treated with the improved Vandenbos surgery in the dermatology department of our hospital from 2020 to 2023 were collected.The recurrence rate and wound healing time were analyzed.The changes in the five dimensions,including mobility,self-care,daily activities,pain/discomfort and anxiety/depression evaluated using the European Health Index(EuroQol)were compared prior to and 6 months after the surgery.Results Using the modified Vandenbos surgical procedure,the recurrence rate was 1.88%,with an average wound healing time of 19.71 days.All five dimensions differed significantly prior to and 6 months after the surgery(all P<0.001).Conclusions Utility of the improved Vandenbos surgical procedure lowers recurrence rate,shortens wound healing time,and significantly improves pain,functional status,and quality of life.This method can be utilized in the clinical practice.

关 键 词：嵌甲 Vandenbos手术 

分 类 号：R47[医药卫生—护理学]