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无菌胶带悬吊技术——一种治疗嵌甲的简单方法——一项前瞻性研究

Steri-Strip Sling Technique - A Simple Procedure for the Management of Ingrown Toenails - A Prospective Study.

作者信息

Ranjan Eeshaan, Arora Sandeep, Sharma Neha, Tripathy Durga M, Neema Shekhar, Srivastava Shailendra, Agarwal Reetu

机构信息

From the Department of Dermatology, Base Hospital, Delhi Cantonment, New Delhi, India.

Department of Dermatology, Army College of Medical Sciences, Delhi Cantonment, New Delhi, India.

出版信息

Indian J Dermatol. 2024 Sep-Oct;69(5):391-395. doi: 10.4103/ijd.ijd_1174_23. Epub 2024 Oct 29.

DOI:10.4103/ijd.ijd_1174_23
PMID:39649964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11623420/
Abstract

BACKGROUND

Ingrown toenail is a nail disorder that commonly affects great toenails. Surgical modalities are commonly used as first-line treatment. A conservative approach is preferable as surgical procedures lead to pain and affect routine activities. Our aim is to study the efficacy of a new conservative technique using steri-strip for the treatment of mild to moderate ingrown toenails as an outpatient procedure.

METHODS

Fifty patients presenting with stage 1-2 ingrown toenails were treated with the 'steri-strip sling technique'. Steri-strip is inserted between the disto-lateral edge of the nail plate and nail fold and secured with an elastic bandage. The dressing is kept till the nail edge grows over the nail fold and stops penetrating the skin. Patients were reviewed every week for a month after the treatment and monthly thereafter. The final result was assessed at 6 months. The success of treatment was assessed clinically and by patient satisfaction levels.

RESULTS

Fifty patients were treated and followed up. Immediately after the procedure, all patients reported significant relief in pain. After 6 months, 46 out of 50 patients were satisfied with the treatment and showed no recurrence. No complications were reported.

CONCLUSION

The 'Steri-strip sling technique' is a simple and effective outpatient procedure for the management of mild to moderate ingrown toenails.

摘要

背景

嵌甲是一种常见于大脚趾指甲的指甲疾病。手术方式通常作为一线治疗方法。由于手术会导致疼痛并影响日常活动，保守治疗方法更为可取。我们的目的是研究一种使用无菌胶带的新保守技术作为门诊手术治疗轻至中度嵌甲的疗效。

方法

50例1-2期嵌甲患者采用“无菌胶带悬吊技术”治疗。将无菌胶带插入甲板远端外侧边缘与甲襞之间，并用弹性绷带固定。敷料一直保留到指甲边缘生长超过甲襞并停止穿透皮肤。治疗后每周对患者进行一次复查，持续一个月，之后每月复查一次。在6个月时评估最终结果。通过临床评估和患者满意度来评估治疗的成功率。

结果

50例患者接受治疗并进行随访。术后立即，所有患者均报告疼痛明显缓解。6个月后，50例患者中有46例对治疗满意且无复发。未报告并发症。

结论

“无菌胶带悬吊技术”是一种用于治疗轻至中度嵌甲的简单有效的门诊手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/1d4a0dbd2a4c/IJD-69-391-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/a19b2eee77c2/IJD-69-391-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/afc1857baf0a/IJD-69-391-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/8b0926964ebd/IJD-69-391-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/0762e934d97b/IJD-69-391-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/c7872f33d5fb/IJD-69-391-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/1d4a0dbd2a4c/IJD-69-391-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/a19b2eee77c2/IJD-69-391-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/afc1857baf0a/IJD-69-391-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/8b0926964ebd/IJD-69-391-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/0762e934d97b/IJD-69-391-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/c7872f33d5fb/IJD-69-391-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/11623420/1d4a0dbd2a4c/IJD-69-391-g006.jpg

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本文引用的文献

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Polyethylene Nail Brace for Ingrown Toenails Treatment: A Randomized Clinical Trial.聚乙烯钉趾甲矫正带治疗嵌甲：一项随机临床试验。
Int J Environ Res Public Health. 2020 Oct 23;17(21):7741. doi: 10.3390/ijerph17217741.
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Treatment of Ingrown Toenail with a Shape Memory Alloy Device.使用形状记忆合金装置治疗嵌甲
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Ingrown toenails.嵌甲
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A simple therapeutic strategy with super elastic wire for ingrown toenails.一种使用超弹性钢丝治疗嵌甲的简单治疗策略。
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