Caronia V, Battistioli M, Gualandi O, Marchese M, Bonotto G
Stabilimento Ospedaliero di Oderzo, Divisione Chirurgica, Regione Veneto, Unità Locale Socio-Sanitaria n. 9, Treviso, Italy.
Minerva Chir. 2001 Apr;56(2):199-203.
The aim of this study was to evaluate the clinical and the ethiopatogenetic aspects of the ingrown toenail, treated by usual surgical technique versus phenol wedge cauterization (ASLUF).
From June 1990 to June 1999, 388 patients (218 male and 170 female patients, age range 9-90 years) were treated by 413 wedge ablation, surgical or chemical. After the operation, patients were controlled after 2 days, 1 week, 1 month, 6 months and 1 year. 109 patients were treated by usual surgical treatment, 260 patients by phenol cauterization (ASLUF), 19 by total ablation.
23 patients presented again ingrown toenail in the same place after few months, 20 patients after surgical treatment and 3 patients after phenol cauterization. All 23 patients were treated again without problems.
In our personal opinion, the treatment of ingrown toenail is necessary soon, without the routine use of antibiotic therapy and the total ablation of the nail is not necessary. On this basis phenol wedge cauterization is the most suitable treatment for ingrown toenail with good cosmetic results, lower recurrence rate and from the functional point of view.
本研究旨在评估采用常规手术技术与苯酚楔形烧灼术（ASLUF）治疗嵌甲的临床和病因学方面。
1990年6月至1999年6月，388例患者（218例男性和170例女性患者，年龄范围9 - 90岁）接受了413次楔形切除术，包括手术或化学烧灼。术后，在2天、1周、1个月、6个月和1年后对患者进行随访。109例患者接受常规手术治疗，260例患者接受苯酚烧灼术（ASLUF），19例患者接受全甲切除术。
23例患者在数月后同一部位再次出现嵌甲，其中20例为手术治疗后，3例为苯酚烧灼术后。所有23例患者再次治疗均无问题。
我们个人认为，嵌甲应尽早治疗，无需常规使用抗生素治疗，也无需进行全甲切除术。在此基础上，苯酚楔形烧灼术是治疗嵌甲最合适的方法，具有良好的美容效果、较低的复发率且从功能角度来看也是如此。
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