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部分和全部手术及苯酚基质切除术的长期评估

Long-term evaluation of partial and total surgical and phenol matrixectomies.

作者信息

Kuwada G T

机构信息

Green River Surgical Center, Auburn, WA.

出版信息

J Am Podiatr Med Assoc. 1991 Jan;81(1):33-6. doi: 10.7547/87507315-81-1-33.

DOI:10.7547/87507315-81-1-33
PMID:1993975
Abstract

Surgical matrixectomies and phenol alcohol matrixectomies have been effective in eliminating certain nail conditions. The complication rate is at an acceptable level; however, there is a need for comparison to other techniques, such as negative galvanism, trephine, osteotripsy, and laser ablation. Of the 353 patients in this study, two were known diabetics who were seen preoperatively by a vascular surgeon for vascular studies and by their internist. Both consultants agreed that the patients would heal. Both patients healed without complications. The author described the use of a modified Frost partial matrixectomy and modified Fowler total matrixectomy in this review. The phenol alcohol technique had a total complication rate of 9.6%, as did the partial matrixectomy. The total matrixectomy had an overall complication rate of 10.9%.

摘要

手术性甲床切除术和酚酒精甲床切除术在消除某些指甲病症方面已见成效。并发症发生率处于可接受水平;然而,有必要与其他技术进行比较,如负极电疗法、环钻术、骨质粉碎术和激光消融术。在本研究的353名患者中,有两名已知的糖尿病患者,术前血管外科医生对其进行了血管检查,内科医生也对其进行了检查。两位会诊医生均认为患者会愈合。两名患者均愈合且无并发症。作者在本综述中描述了改良的弗罗斯特部分甲床切除术和改良的福勒全甲床切除术的应用。酚酒精技术的总并发症发生率为9.6%,部分甲床切除术也是如此。全甲床切除术的总体并发症发生率为10.9%。

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