甲母质、甲床部分切除结合甲沟重建治疗嵌甲性甲沟炎的临床观察

Clinical Observation on the Treatment of Incarceration Paronychia with Partial Reconstruction of Nail Matrix and Nail Bed

目的分析嵌甲性甲沟炎应用甲床、甲母质部分切除联合甲沟重建治疗的临床效果。方法选择该院2015年7月—2018年2月诊治的76例嵌甲性甲沟炎患者,随机分成研究组(38例)和对照组(38例)。对照组接受全甲拔除术治疗,研究组予以甲床、甲母质部分切除与甲沟重建联合治疗,比较两组临床疗效。结果研究组术后疼痛度(2.82±0.52)分、换药次数(6.36±1.42)次、愈合时间(14.65±1.32)d,优于对照组(P<0.05);研究组一次治愈率92.11%、畸形率2.63%、感染率5.26%、复发率7.89%,均低于对照组(P<0.05)。结论嵌甲性甲沟炎实施甲沟重建联合甲床、甲母质部分切除治疗,可有效缩短愈合时间,降低复发率、感染率和畸形率,治愈效果显著。

Objective To analyze the clinical effect of partial nail resection combined with nail groove reconstruction in the treatment of nail incarceration. Methods Seventy-six patients with inguinal paronychia in our hospital from July2015 to February 2018 were randomly divided into study group(38 cases) and control group(38 cases). The control group received full-arm removal surgery. The study group received a combined treatment of nail bed and nail matrix removal and reconstruction of the nail groove. Clinical efficacy of the two groups was compared. Results The postoperative pain was(2.82±0.52) points, the number of dressing changes(6.36±1.42)times, and the healing time(14.65±1.32)d, which was better than the control group(P<0.05). The cure rate of the study group was 92.11. The percentage of malformation was 2.63%, the infection rate was 5.26%, and the recurrence rate was 7.89%, which was lower than that of the control group(P<0.05). Conclusion The implementation of a nail groove reconstruction combined with nail bed and nail matrix resection can effectively shorten the healing time, reduce the recurrence rate, infection rate and deformity rate, and have a significant healing effect.