嵌甲：甲床酚化法与甲床-骨膜瓣掀起术的比较
Ingrown nails: a comparison of the nail matrix phenolization method with the elevation of the nail bed-periosteal flap procedure.
作者信息
Mori H, Umeda T, Nishioka K, Iida H, Aoki K, Yokoyama A
机构信息
Department of Dermatology (Unit of Plastic Surgery), Tokyo Medical and Dental University, School of Medicine, Japan.
出版信息
J Dermatol. 1998 Jan;25(1):1-4. doi: 10.1111/j.1346-8138.1998.tb02335.x.
Seventy-five procedures were performed on 62 patients with ingrown nails from 1992 to 1996. Those consisted of 51 nail matrix phenolization methods (NMP) and 24 elevation of the nail bed-periosteal flap procedures (ENF). Ingrown nails were classified into type A (normal nail plate) and type B (incurved nail plate). The duration and intensity of postoperative pain were assessed, and the recurrence rate was monitered. The recurrence rate was 3.9% in the NMP group and 4.1% in the ENF group. Concerning the recurrence rate, there was no statistical significance between ENF and NMP in both types. Postoperative pain intensity was less in the NMP group than in the ENF group in both types (P < 0.01). The same tendency was seen in postoperative pain duration. However, the NMP group had longer duration of wound healing compared with the ENF group in type A (P < 0.01). We conclude that NMP is a recommendable treatment for most ingrown nails.
1992年至1996年期间，对62例嵌甲患者实施了75例手术。其中包括51例甲床酚化术（NMP）和24例甲床-骨膜瓣掀起术（ENF）。嵌甲分为A型（正常甲板）和B型（内弯甲板）。评估术后疼痛的持续时间和强度，并监测复发率。NMP组的复发率为3.9%，ENF组为4.1%。就复发率而言，两种类型的ENF和NMP之间均无统计学意义。两种类型中，NMP组的术后疼痛强度均低于ENF组（P<0.01）。术后疼痛持续时间也呈现相同趋势。然而，A型中NMP组的伤口愈合时间比ENF组长（P<0.01）。我们得出结论，NMP是大多数嵌甲的推荐治疗方法。
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