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3种拔甲方法治疗嵌甲性甲沟炎疗效分析 被引量:35

Comparison among Three Therapeutic Methods for Treatment of Ingrown Toenails Paronychia
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摘要 目的探讨嵌甲性甲沟炎的有效治疗方法。方法回顾性分析110例嵌甲性甲沟炎患者的临床资料,A组30例采用全甲拔除术,B组40例采用部分拔甲术联合甲根刮除术,C组40例采用部分拔甲术,比较3组患者的临床疗效。结果 3组患者的愈合时间、治愈率和复发率比较,B组(4±2.57,89.13%和10.87%)和C组(4±1.58,90.91%和9.09%)均优于A组(8±2.38,66.67%和33.33%),差异均有统计学意义(P均<0.01),但是B组和C组的差异不显著(P均>0.05)。结论部分拔甲联合甲根刮除术和部分拔甲术的疗效优于全甲拔除术,且患者痛苦小,依从性好;而且部分拔甲术所需手术器械少,操作技术简单,值得临床选用。 Objective To investigate the effective therapeutic methods for ingrown toenails paronychia. Methods One hundred and of ingrown toenails paronychia were retrospective analyzed. Thirty cases in group A were treated by all nail extraction, forty cases in group B were treated by partial nail extraction combined with nail root curettage, forty cases in C group of were treated by partial nail extraction. Healing time, recovery rate and recurrence rate among them were compared. Results The Healing time, recovery rate and recurrence rate of group A (8 -+ 2.38,66.67% and 33.33% ) were no better than groupB (4 +2.57,89.13% and 10.87%)and C(4+1.58,90.91% and 9.09%) respectively (P both 〈 0.01 ) , and there was no difference between group B and C ( P both 〉 0.05 ). Conclusion Partial nail extraction combined nail root curettage and partial nail extraction were better than all nail extraction due to better curative effect, less pain and better compliance, and partial nail extraction had advan- tage of less surgical instruments, easily operation and less bleeding over partial nail extraction combined nail root curettage.
出处 《中国皮肤性病学杂志》 CAS 北大核心 2011年第10期771-772,共2页 The Chinese Journal of Dermatovenereology
关键词 嵌甲性甲沟炎 治疗方法 Ingrown toenails paronychia Therapeutic method
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