Dermatology Clinic, Tunceli State Hospital, Tunceli, Turkey.
Dermatology Clinic, Ankara Atatürk Training and Research Hospital, Ankara, Turkey.
Dermatol Ther. 2018 Sep;31(5):e12677. doi: 10.1111/dth.12677. Epub 2018 Aug 22.
Ingrown nail is a common problem seen in the dermatology clinics. The aim of this study is to compare the wedge resection method and chemical matricectomy with NaOH in terms of operation time, postoperative pain severity, postoperative drainage, recurrence rates, recovery time, and the effects of these two methods on Dermatology Quality of Life Index. This study included 60 patients. About 42 nail edges of 30 patients were treated with NaOH for chemical matricectomy and wedge resection was performed for 33 nail edges of 30 patients. Operation time for chemical matricectomy and wedge resection was an average of 7.66 ± 3.65 and 19.25 ± 5.54 min (p < .001). Recovery time was an average of 17.27 ± 14.22 days for chemical matricectomy and an average of 28.85 ± 17.03 days for wedge resection (p = .004). Recurrence was detected in 5.4% of the nail edges treated with chemical matricectomy and 3.6% of the nail edges treated with wedge resection (p = 1.000). Absence of differences for the recurrence rates between wedge resection method and chemical matricectomy method with NaOH shows that effectiveness of these approaches are similar. It seems that quite short operation and recovery times in the chemical matricectomy are the main advantage of the method.
嵌甲是皮肤科门诊中常见的问题。本研究旨在比较楔形切除术和氢氧化钠化学拔甲术在手术时间、术后疼痛严重程度、术后引流、复发率、恢复时间以及这两种方法对皮肤病生活质量指数的影响。本研究纳入了 60 名患者。30 名患者的约 42 个甲缘采用氢氧化钠进行化学拔甲治疗，30 名患者的 33 个甲缘行楔形切除术。化学拔甲和楔形切除术的平均手术时间分别为 7.66±3.65 分钟和 19.25±5.54 分钟（p<0.001）。化学拔甲的平均恢复时间为 17.27±14.22 天，楔形切除术的平均恢复时间为 28.85±17.03 天（p=0.004）。化学拔甲治疗的 5.4%甲缘和楔形切除术治疗的 3.6%甲缘检测到复发（p=1.000）。楔形切除术与氢氧化钠化学拔甲术的复发率无差异表明这两种方法的疗效相似。化学拔甲的主要优点似乎是手术和恢复时间较短。
