部分甲床切除术联合搔刮与电灼：两种手术方法治疗嵌甲的疗效比较。
Partial matricectomy with curettage and electrocautery: a comparison of two surgical methods in the treatment of ingrown toenails.
机构信息
*Department of Orthopedics and Traumatology, Kayseri Training and Research Hospital, Kayseri, Turkey; †Department of Orthopedics and Traumatology, Izmir Training and Research Hospital, Izmir, Turkey; ‡Department of Orthopedics and Traumatology, Karaman State Hospital, Karaman, Turkey.
出版信息
Dermatol Surg. 2014 Oct;40(10):1132-9. doi: 10.1097/DSS.0000000000000129.
BACKGROUND
An ingrown toenail is a common, painful, and debilitating condition.
OBJECTIVE
This study aims to compare 2 surgical methods (partial matricectomy with curettage and electrocautery) in the treatment of ingrown toenails.
MATERIALS AND METHODS
A total of 92 ingrown nails of the big toe in 86 patients underwent partial matricectomy with curettage, whereas 57 ingrown nails of the big toe in 52 patients underwent partial matricectomy with electrocautery.
RESULTS
Recurrence was observed in 2 toenails in the partial matricectomy with curettage group, whereas no recurrence was observed in the partial matricectomy with electrocautery group (p > .05). The mean period of postoperative pain was 2.3 and 3.1 days in the curettage group and the electrocautery group, respectively (p < .05). There was a significant difference in the duration of scar tissue inflammation (p < .05).
CONCLUSION
Both surgical methods are safe treatment modalities with a high success rate. Partial matricectomy, which is achieved using curettage, seems to be superior to electrocautery in respect of reduced inflammation and duration of pain.
背景
嵌甲是一种常见的、痛苦的、使人虚弱的疾病。
目的
本研究旨在比较两种手术方法（搔刮与电灼的部分甲床切除术）治疗嵌甲的效果。
材料和方法
86 例患者的 92 个大脚趾嵌甲行部分甲床切除术+搔刮，52 例患者的 57 个大脚趾嵌甲行部分甲床切除术+电灼。
结果
搔刮组有 2 个趾甲复发，电灼组无复发（p＞0.05）。搔刮组和电灼组术后疼痛平均持续时间分别为 2.3 天和 3.1 天（p＜0.05）。瘢痕组织炎症持续时间有显著差异（p＜0.05）。
结论
两种手术方法均安全有效，成功率高。搔刮的部分甲床切除术在炎症和疼痛持续时间方面优于电灼。
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