Department of Dermatology, Nevşehir State Hospital, İstanbul, Nevşehir, Turkey.
Dermatol Surg. 2013 Feb;39(2):274-80. doi: 10.1111/dsu.12068. Epub 2012 Dec 10.
To determine an effective mode of therapy of ingrown nail using two different methods.
Patients with the diagnosis of stage 2 or 3 ingrown nails were included and divided into two groups. In the first group, partial matrixectomy was performed using electrocautery after partial nail extraction; in the second group, partial matrixectomy using cryotherapy was performed after partial nail extraction.
The study included 53 patients with ingrown nails. Patient ages ranged from 11 to 79 years (median 31.8 ± 16.9). No relapse was observed in 96.2% of the patients after a follow-up period of 3-12 months (n = 51). Matrixectomy in 71.7% (n = 38) of patients was successful. Matrixectomy using electrocautery was successful in 18 of 29 patients. Matrixectomy using cryotherapy was successful in 20 of 24 patients.
Matrixectomy should be added to the treatment of ingrown nails. There was no significant difference between electrocautery and cryotherapy in terms of relapse. In patients with advanced stages of ingrown nails, partial nail extraction combined with matrixectomy using cryotherapy is an effective method of treatment.
使用两种不同方法确定嵌甲的有效治疗模式。
纳入诊断为 2 期或 3 期嵌甲的患者，并将其分为两组。第一组在部分拔甲后用电灼术进行部分甲母质切除术；第二组在部分拔甲后用冷冻疗法进行部分甲母质切除术。
本研究共纳入 53 例嵌甲患者。患者年龄 11-79 岁，中位数 31.8±16.9 岁。在 3-12 个月的随访期内（n=51），96.2%的患者无复发。71.7%（n=38）的患者甲母质切除术成功。29 例患者中有 18 例用电灼术成功进行了甲母质切除术，24 例患者中有 20 例用冷冻疗法成功进行了甲母质切除术。
甲母质切除术应作为嵌甲的治疗方法之一。电灼术和冷冻疗法在复发方面无显著差异。对于嵌甲晚期患者，联合冷冻疗法的部分拔甲联合部分甲母质切除术是一种有效的治疗方法。
