Ogunlusi Johnson D, Oginni Lawrence M, Ogunlusi Olugbemisola O
State Specialist Hospital Ado-Ekiti, Formerly Department of Orthopaedics and Traumatology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
Tech Hand Up Extrem Surg. 2005 Jun;9(2):120-1. doi: 10.1097/01.bth.0000163575.00615.69.
The severe deformities of the fingers seen in poorly treated or late presenting cases of paronychia stimulated this prospective study. The aim was to make early diagnosis and to find a simple method of draining the pus in the paronychia. This was a prospective hospital based study at the Wesley Guild Hospital (WGH) Ilesa for 9 months. Using simple materials like 23G or 21G needle, cotton wool, chlorohexidine solution, methlylated spirit and zinc oxide plaster, abscess in acute paronychia was drained by lifting the nail fold with the tip of the needle. Ten cases of paronychia in 8 patients were drained with the method. Combination of the early drainage and antibiotics showed that all the patients were relieved of pain and could use their fingers normally within 2 days. There was no need of anesthesia and daily dressing. The drainage technique is simple and effective. The early drainage prevents the occurrence of any form of complication.
甲沟炎治疗不当或就诊较晚时出现的严重手指畸形促使了这项前瞻性研究。目的是进行早期诊断并找到一种简单的甲沟炎脓液引流方法。这是在伊莱萨卫斯理公会医院（WGH）进行的一项为期9个月的基于医院的前瞻性研究。使用23G或21G针头、棉球、氯己定溶液、甲基化酒精和氧化锌胶布等简单材料，通过用针尖提起甲襞来引流急性甲沟炎的脓肿。8例患者中的10例甲沟炎采用该方法进行了引流。早期引流与抗生素联合使用表明，所有患者疼痛缓解，2天内即可正常使用手指。无需麻醉和每日换药。该引流技术简单有效。早期引流可防止任何形式并发症的发生。
