侧甲皱成形术联合部分切除甲母质治疗嵌甲230例临床观察

Clinical observation of nail groove plasty for acrongx in 230 cases

目的探讨侧甲皱成形术治疗嵌甲的方法及疗效。方法回顾性分析230例嵌甲性甲沟炎患者的临床资料,总结化脓急性甲沟炎患者,先拨甲排脓,并换药,伤口愈合后再次侧甲皱成形术手术的临床效果。结果 230例中54例积脓者,先行拨甲术,再行Ⅱ期侧甲皱成形术,痊愈;176例慢性嵌甲患者,行Ⅰ期侧甲皱成形手术,痊愈,效果良好,未见嵌甲复发。结论侧甲皱成形术手术创伤小,预后好,复发率低,远期疗效确切,为治疗嵌甲的理想手术方式。

Objective To evaluate the methods and effect of nail groove plasty for acrongx. Mothods Two hundred and thirty cases of ingrown toenails were analysed restrospectively. The clinical effect of patients with acute episode,who were incised to discharge pus and heal wound before operation,was studied. Results 54 cases with empyema in nail groove were healed by second intention after nail extraction. 176 cases were healed by first intention without any complication. The curative effect in all patients was good. Conclusions Nailgroove plasty has less trauma,good effect,low recurrence rate and sure prostective efficacy,which is an ideal operative mode to treat acrongx.