[甲沟炎的治疗]
[Treatment of paronychia].
作者信息
Langer M F, Lötters E, Wieskötter B, Surke C
机构信息
Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48129, Münster, Deutschland.
出版信息
Oper Orthop Traumatol. 2011 Jul;23(3):204-12. doi: 10.1007/s00064-011-0025-y.
OBJECTIVE
The procedure is selected based on the stage of infection with careful removal of the focal infection in the area of the nail fold.
INDICATIONS
All infections of the periungual area.
CONTRAINDICATIONS
Herpes infections [1, 12]. All purulent infections of the periungual area should be eliminated.
SURGICAL TECHNIQUE
Opening of the abscess, excision of the eponychium, mobilization of the nail barrier away from the nail plate, inzision of the nail barrier at a defined place, necrosectomy, irrigation, and drainage.
POSTOPERATIVE MANAGEMENT
Moist dressings and fingerbaths in the first few days.
RESULTS
In most cases, the infection heals completely without substantial scar formation.
目的
根据感染阶段选择手术方法，仔细清除甲皱襞区域的局灶性感染。
适应症
甲周区域的所有感染。
禁忌症
疱疹感染[1,12]。应消除甲周区域的所有化脓性感染。
手术技术
切开脓肿，切除近端甲皱襞，将甲屏障从甲板分离，在特定位置切开甲屏障，进行坏死组织切除术、冲洗和引流。
术后处理
最初几天使用湿敷料并进行手指浸泡。
结果
在大多数情况下，感染可完全愈合，无明显瘢痕形成。
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