Bednar M S, Lane L B
Department of Orthopaedics, Hospital for Special Surgery, N.Y., N.Y.
J Hand Surg Am. 1991 Mar;16(2):314-7. doi: 10.1016/s0363-5023(10)80118-2.
A long-term retrospective study of patients with chronic paronychia treated by eponychial marsupialization with or without nail removal is presented. Twenty-eight consecutive fingers with chronic paronychia in twenty-five patients were surgically treated. Symptoms had been present for 28 +/- 7 weeks. Twenty-three of these had nail irregularities. Of this group, the first seven fingers were treated with marsupialization alone. Recurrences developed in two of these. The next sixteen patients with nail irregularities were treated with marsupialization plus nail removal, and there were no recurrences (p less than 0.05). Furthermore, when the two recurrent paronychia were treated with both procedures, one healed completely and the other was markedly improved. All fingers without nail irregularities healed with marsupialization alone. These results confirm that eponychial marsupialization is an effective means of treating chronic paronychia and suggest that nail removal should be done when concurrent nail irregularities are seen.
本文介绍了一项对采用或不采用拔甲术的甲沟袋形缝合术治疗慢性甲沟炎患者的长期回顾性研究。对25例患者的28个连续手指进行了慢性甲沟炎的手术治疗。症状出现的时间为28±7周。其中23个存在指甲异常。在这一组中，前7个手指仅接受了袋形缝合术治疗。其中2个出现了复发。接下来的16例有指甲异常的患者接受了袋形缝合术加拔甲术治疗，且无复发（p<0.05）。此外，当对2例复发性甲沟炎患者同时采用这两种手术治疗时，1例完全愈合，另1例明显改善。所有无指甲异常的手指仅通过袋形缝合术即可愈合。这些结果证实甲沟袋形缝合术是治疗慢性甲沟炎的有效方法，并表明当发现同时存在指甲异常时应进行拔甲术。
