清除小部分甲母质治疗甲沟炎的临床效果
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[摘要] 目的 探讨拔甲术加部分甲母质清除术治疗甲沟炎的临床效果。 方法 将在本院门诊就诊的122例甲沟炎患者随机分为A、B组，A组实行单纯部分或全甲拔除术，B组在A组手术的基础上切除患侧小部分甲母质，并用刮匙刮除、用碘酊烧灼去除残留部分甲母质。 结果 A组甲沟炎的复发率为55.73%，B组为4.92%，B组甲沟炎的复发率明显低于A组(P<0.005)。 结论 拔甲术加部分甲母质清除术创伤小，复发率低，基本不影响新甲的外形美观，值得推广应用。
[关键词] 甲沟炎；嵌甲；甲母质；复发率
[中图分类号] R632.7[文献标识码] A[文章编号] 1674-4721(2014)05(a)-0014-02
Clinical effect of clearing a small part of nail matrix treating paronychia
LI Jing
Department of Surgery,Zhengzhou Institute of Aeronautical Industry Management Hospital,Zhengzhou 450015,China
[Abstract] Objective To explore the clinical effect of nail removal combined with clearing a small part of nail matrix in the treatment of paronychia. Methods 122 patients with paronychia visited doctors in clinic of our outpatient were randomly divided into the group A and the group B.The group A was treated by partial or complete nail removal simply,while in the group B,on the basis of therapy in group A,patients were additionally removed a small part of nail matrix in the affected side and using curette to scrape,and the residual part of a matrix with was removed by iodine tincture cautery. Results The recurrence rate of paronychia in the group A and group B was 55.73% and 4 ......
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