改良缝合技术对甲皱襞和部分甲床切除术的改善效果

Improved outcomes of a modified suture technique appfied after nail fold and partial nail bed excision

目的 评价改良缝合技术对甲皱襞和部分甲床切除术治疗嵌甲的改善效果。方法 自2014年7月至2016年12月,我们对96例嵌甲患者进行甲皱襞和部分甲床切除术,其中46例(研究组)采用改良缝合,50例(对照组)采用传统缝合。术后观察比较疼痛、出血、感染、恢复正常行走时间、伤口愈合时间及复发等各项指标。结果 术后91例患者获得随访,5例失访,时间为9~16个月,平均12.3个月。术后研究组疼痛、出血、恢复正常行走时间及伤口愈合时间均低于对照组,差异有统计学意义(P<0.05);而在术后感染率、复发率等方面差异无统计学意义(P>0.05)。结论 改良缝合技术能够改善甲皱襞和部分甲床切除术患者术后疼痛和出血等问题,缩短患者恢复正常行走时间和伤口愈合时间,但不会增加术后感染率和复发率。

Objective To evaluate the effect of the modified suture technique applied after nail fold and partial nail bed excision for the treatment of ingrown toenails.Methods From July2014to December2016,96cases of ingrown toenails were performed with nail fold and partial nail bed excision.The modified suture technique was used in46cases(study group)and the traditional suture technique was used in50cases(control group).Postoperative pain,bleeding, infection,recurrence,the recovery time of normal walking and wound healing time were observed and compared.Results After operation,91patients were follow-up for9to16months with an average of12.3months,while5cases were lost.The level of postoperative pain,bleeding,recovery time of normal walking and wound healing time from the study group were lower than those from the control group,and the differences were statistically significant(P<0.05).There was no statistical difference in either postoperative infection or recurrence rate between the two groups(P>0.05).Conclusion The improved suture technique can improve the postoperative pain and bleeding for the patients performed with nail fold and partial nail bed excision,shorten the recovery time of normal walking and the wound healing time,but it will not increase the rate of postoperative infection and recurrence.