3种方法治疗嵌甲性甲沟炎的疗效比较

Comparison of outcomes among three therapeutic methods to ingrown toenails paronychia

目的探讨目前治疗嵌甲性甲沟炎最有效的方法。方法分析268例嵌甲性甲沟炎患者的临床资料,A组65例采用全甲拔除术,B组78例采用部分甲拔除术,C组125例采用部分甲拔除术联合激光治疗。所有患者治疗后随访6个月,比较三组的疗效。结果三组换药次数、伤口愈合时间、治愈率、复发率分别为:A组(5±1.78)次、(10±2.43)d、61.54%、38.46%;B组(3±0.66)次、(6±1.56)d、70.51%、29.49%;C组(3±0.45)次、(6±1.38)d、97.60%、2.40%。在换药次数、伤口愈合时间上,B组和C组无明显差异,均明显优于A组。三组治愈率比较,由高到低依次为C、B、A组;复发率比较,由低到高依次为C、B、A组,差异具有统计学意义。结论部分甲拔除术联合CO2激光治疗嵌甲性甲沟炎,患者痛苦小、依从性好,治愈率高。

Objective To explore the most effective therapeutic methods to ingrown toenails paronychia. Methods A total of 268 patients with ingrown toenails paronychia were analyzed. Group A （ n = 65 ） was treated with whole nail removal, Group B （ n = 78 ） with partial nail removal, and Group C （ n = 125 ） with partial nail removal combined with CO2 Laser. All the groups were followed up for 6 months after the treatment, and the therapeutic outcomes were compared. Results Dressing exchange frequency, healing time, healing rate and recurrence rate were listed as follow, Group A （5 ± 1.78, 10 ± 2.43, 61.54% , 38.46% ） , Group B （ 3 ± 0.66, 6±1.56, 70.51%, 29.49%） and Group C （3±0.45, 6±1.38, 97.60%, 2.40%）. On dressing exchange frequency and wound healing time, no obvious differences were found between Group B and C which were both obviously better than Group A. As for cure rate from high to and recurrence rate from low to high, the three groups were listed following a sequence of Group C, B and A. The differences were statistically significant. Conclusion Partial nail removal combined with CO2 Laser has advantage of less pain, good adherence and high cure rate in the treatment of ingrown toenails paronychia.