部分甲床切除甲沟成形术治疗嵌甲性甲沟炎78例的效果分析

Effect analysis of part of the nail bed nail excision and nail groove plasty in treating 78 onychocryptosis paronychia

目的探讨部分甲床切除甲沟成形术治疗嵌甲性甲沟炎的临床效果。方法选择2014年8月~2015年8月来我院就诊的78例嵌甲性甲沟炎患者,采用部分甲床切除甲沟成形术,手术前0.5%碘伏浸泡患趾,切除病变甲沟、部分趾甲、甲基及甲床,重建甲沟,术后加压包扎,抗炎换药治疗。观察治疗前后的变化。结果患者术后愈合佳,外观完整美观,患趾感觉及运动功能正常,无复发及术后感染,无并发症、后遗症发生。结论该法创伤小、治疗时间短、出血少、恢复快,宜在基层单位中推广。

Objective To explore the clinical effect of part of the nail bed nail excision and nail groove plasty in treating onychocryptosis paronychia.Methods 78 onychocryptosis paronychia patients from August 2014 to August 2015 in our hospital with the part of the nail bed nail excision and nail groove plasty were chosen and used 0.5% iodophor to soak the affected toe before operation;the lesion paronychia,part of the nail,methyl and nail bed were ablated;paronychia were reconstructed;pressure dressing and anti-inflammatory treatment were conducted after operation.The effect was observed before and after treatment. Results Postoperative wound for patients was healed well,and with complete and beautiful appearance;toes with normal sensation and motor function was normal,and with any recurrence and postoperative infection,complications and sequela.Conclusion This method with the advantages is less trauma,short treatment time,less bleeding and fast recovery.It is suitable for popularize in primary units.