Cameron P F
Br Med J (Clin Res Ed). 1981 Sep 26;283(6295):821-2. doi: 10.1136/bmj.283.6295.821.
Most of the procedures used for treating ingrowing toenails cause considerable discomfort and have high failure rates. This study evaluated two methods of treatment: (a) a simple procedure, and (b) angular phenolisation. Patients were seen in a special toenail clinic and were assessed for severity and duration of symptoms. Those with no permanent deformity of the nail fold and with only minor infection were treated by the simple procedure. The nail was nicked and torn down to expose the infected nail fold. The patients were then taught to clean the area, spray it with povidone-iodine dry powder, and pack the nail fold with a twist of cotton-wool. Patients with recurrent or severe ingrowing toenails were treated by angular phenolisation. One hundred patients were treated by the simple procedure and 61 of these had had no recurrence after six months. A total of 280 phenolisations were carried out over 18 months and 272 were successful. The treatments described are simple, effective, and well tolerated and should be considered as alternatives to traditional treatment.
大多数用于治疗嵌甲的方法都会引起相当大的不适，且失败率很高。本研究评估了两种治疗方法：（a）一种简单的方法，以及（b）角部酚化法。患者在一家专门的趾甲诊所接受诊治，并对症状的严重程度和持续时间进行评估。对于甲襞无永久性畸形且仅有轻微感染的患者，采用简单的方法进行治疗。将指甲划破并撕开，以暴露感染的甲襞。然后教导患者清洁该区域，喷洒聚维酮碘干粉，并用一团棉絮填充甲襞。对于复发性或重度嵌甲患者，采用角部酚化法进行治疗。100例患者采用简单方法进行治疗，其中61例在6个月后无复发。在18个月内共进行了280次酚化治疗，其中272次成功。所描述的治疗方法简单、有效且耐受性良好，应被视为传统治疗的替代方法。
