垂直半褥式缝合结合甲沟重建治疗嵌甲型甲沟炎的临床观察

doi:10.3969/j.issn.1009-976X.2015.01.022

岭南现代临床外科 ›› 2015, Vol. 15 ›› Issue (01): 84-86.DOI: 10.3969/j.issn.1009-976X.2015.01.022

垂直半褥式缝合结合甲沟重建治疗嵌甲型甲沟炎的临床观察

冯嘉威,何伟东,黄新宇,许知光,杨明明,许国华

广东省江门市人民医院

通讯作者: 冯嘉威

Effect of vertical half mattress suture combined with nail groove reconstruction for treatment of ingrown paronychia

Feng Jiawei, He Weidong, Huang Xinyu, Xu Zhiguang, Yang Mingming, Xu Guohua

Received:2014-12-22 Revised:2015-01-26 Online:2015-02-20 Published:2015-04-20

摘要/Abstract

摘要： 【摘要】〓目的〓探讨垂直半褥式缝合结合甲沟重建手术治疗足复发性嵌甲型甲沟炎的临床疗效。方法〓选择2011年6月~2013年6月我院收治的复发性嵌甲型甲沟炎患者,包括采用垂直半褥式缝合结合甲沟重建术治疗64例(垂直半褥式缝合组),采用部分或全拔甲术治疗64例(拔甲组)。比较两组术后12个月临床疗效。结果〓采用垂直半褥式缝合治疗的患者中复发6例(9.375%),拔甲组患者复发19例(29.687%),并且在疼痛比较、感染及畸形程度等比较上两组差异具有显著性意义(P<0.05)。结论〓垂直半褥式缝合结合甲沟重建治疗复发性嵌甲型甲沟炎疗效可靠,复发率低。

关键词: 垂直半褥式缝合, 甲沟重建, 嵌甲, 甲沟炎

Abstract: 【Abstract】〓Objective〓To introduce the experience and effect of the vertical half mattress suture combined with nail groove reconstruction for treatment of ingrown toenails paronychia. Methods A total of 128 patients with recurrent embedded with paronychia were selected in the study. According to the surgical approaches, 64 foot paronychia underwent vertical half a mattress suture with a groove revascularization (treatment group) and 64 received partial or full armor pull (control group). The clinical effect was evaluated between two groups in 12 month-follow-up after operation. Results〓All patients got good follow-up, the treatment group had a recurrence of 6 cases (9.375%), control group 19 cases (29.687%). The numbers of recurrence cases, pain, infection, and deformity in treatment group were lower than that in control (P<0.05). Conclusion〓The vertical half mattress suture combination with nail groove reconstruction is reliable, and simple surgical technique with low recurrence rate, and worthy of promotion.

Key words: Vertical half mattress suture, Nail groove reconstruction, Ingrown toenail, Paronychia

中图分类号:

R658.3

冯嘉威何伟东黄新宇许知光杨明明许国华. 垂直半褥式缝合结合甲沟重建治疗嵌甲型甲沟炎的临床观察[J]. 岭南现代临床外科, 2015, 15(01): 84-86.

Feng Jiawei, He Weidong, Huang Xinyu, Xu Zhiguang, Yang Mingming, Xu Guohua. Effect of vertical half mattress suture combined with nail groove reconstruction for treatment of ingrown paronychia[J]. Lingnan Modern Clinics in Surgery, 2015, 15(01): 84-86.

参考文献

[1] Ｒichert B. Surgical management of ingrown toenails an update overdue[J]. Dermatol Ther, 2012, 25(6): 498－509．
[2] Ｒusmir A, Salerno A. Postoperative infection after excisional toenail matrixectomy: a retrospective clinicalaudit[J]. J AmPodiatr Med Assoc, 2011，101( 4) : 316-322．
[3] 张国雷、王利. 甲沟炎的诊疗及研究现状［J］. 当代医学 2013，19（12）：19-21.
[4] Reyzelman AM．Trombello KA，Vayser DJ，el s1．Are antibiotics necessary in the treatment 0f locally infected ingrown toenails? Arch Fam Med．2000，9：930-932．
[5]Antrum RM．Radical excision of the nailfold for ingrowing toenail．J Bone Joint Surg Br，1984．66：63-65．
[6]李治改良拔甲术对顽固性甲沟炎的治疗效果［J］.岛大学医学院学报 2010，46（2）：1672.
[7]Matsumoto K，Hashimoto I，Nakanishi H，et al． Resin splint as a new conservative treatment for ingrown toenails［J］.J Med Invest，2010，57(3/4) : 321-325．
[8]苗小金，张永玉趾甲整形在治疗嵌甲型甲沟炎中的应用［J］.中国美容整形外科杂志2012，23（9）：563-564.　
[9]胡启翔，孙英杰，郝朝辉. 嵌甲性甲沟炎的治疗［J］.中国美容医学2013，22（24）
，2355-2357.
[10]田文，赵俊会，韦加宁．甲床损伤及其治疗［J］.手外科杂志，2006，8(4)：239-242．
[11]田光磊，王澍寰，朱瑾，等．甲床甲体增长术[J]．实用手外科杂志，2012．26(3)：203—206．
[12]ZuberTJ. ingrown toenail removal[J].Am Fam Physician,2002,65(12) :2547 -2554.
[13] 谭富生．嵌甲症．骨科手术学下册[M]．第2版．北京：人民卫生出版社，1998：2108—2010．
[14] Mozena JD The Monna Classification System and treatment algorithm for ingrown hallux nails。 J Am Podiatr Med Assoc，2002，92(3)：131—135．
[15]胡艳红、罗梅、沈世琴嵌甲症无创治疗新进展［J］.医学综述 2012，18（24）：4183-4184.
[16]郁耀平、俞光荣足嵌甲症治疗的研究进展［J］.外科研究与新技术2013，2(3):185-188.
[17]黄新手术结合中药治疗甲沟炎56例［J］ .中国中医急症 2009，18（8）：1349-1350.
[18]钟兴鑫单侧甲沟切除并重建浅甲沟治疗嵌甲性甲沟炎［J］. 实用手外科杂志 2013，27（1）：78-79.

垂直半褥式缝合结合甲沟重建治疗嵌甲型甲沟炎的临床观察

Effect of vertical half mattress suture combined with nail groove reconstruction for treatment of ingrown paronychia

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 3

编辑推荐

Metrics

[1]	雷国大，陈丽燕，李莉，莫石柯，李永洁，杨川*. 肇庆市怀集县人民医院糖尿病足患者的预后及影响因素分析[J]. 岭南现代临床外科, 2019, 19(02): 182-186.
[2]	陈佳霍景山吴岷翰韩新峰. 伤科黄水湿敷联合青霉素钠注射液治疗下肢急性蜂窝织炎临床观察[J]. 岭南现代临床外科, 2016, 16(01): 76-79.
[3]	曾志文俞润英张岳农钟瑜婷林跃华王文贤. 单侧腰-硬联合麻醉用于高龄患者髋关节手术的效果[J]. 岭南现代临床外科, 2013, 13(03): 221-223.