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孙晓琦.垂直半褥式缝合甲沟重建术结合改良嵌甲切除术对嵌甲性甲沟炎患者愈合时间及复发率的影响[J].浙江中西医结合杂志,2020,30(1):
垂直半褥式缝合甲沟重建术结合改良嵌甲切除术对嵌甲性甲沟炎患者愈合时间及复发率的影响
The Effects of Vertical Semi-Mattress Suture Nail Groove Reconstruction Combined with Modified Ingrown Nail Resection on Healing Time and Recurrence Rate of Ingrown Nail Furrow Inflammation
投稿时间:2019-06-13  修订日期:2019-08-13
DOI:
中文关键词:  垂直半褥式缝合  改良嵌甲切除术  嵌甲性甲沟炎  临床疗效
英文关键词:Vertical semi-mattress suture  Modified ingrown nail resection  Ingrown nail furrow inflammation  Clinical efficacy
基金项目:
作者单位E-mail
孙晓琦* 杭州师范大学附属萧山医院整形外科 sunxiaoqi198@163.com 
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中文摘要:
      目的 探究垂直半褥式缝合甲沟重建术结合改良嵌甲切除术对嵌甲性甲沟炎患者愈合时间及复发率的影响。方法 选择2016年3月至2018年3月于我院就诊的嵌甲性甲沟炎患者64例,随机分为对照组和观察组各32例,对照组患者采用部分或全拔甲术治疗,观察组患者采用垂直半褥式缝合甲沟重建术结合改良嵌甲切除术治疗,观察两组患者治疗效果,统计患者愈合时间及复发率。结果 治疗前,两组患者均出现较严重的疼痛症状,疼痛VAS评分比较差异无统计学意义(P>0.05),经手术治疗后,两组患者在术后3d、7d疼痛症状显著减轻,疼痛VAS均显著下降,且观察组疼痛VAS评分显著低于对照组(P<0.05);对照组患者伤口感染率显著高于观察组患者的伤口感染率(P<0.05),治疗后,两组患者伤口愈合平均时间比较差异显著,对照组显著长于观察组(P<0.05);观察组患者治愈率显著高于对照组(P<0.05);观察组患者满意度VAS评分显著高于对照组(P<0.05);观察组患者再次发生嵌甲性甲沟炎的复发率显著低于对照组(P<0.05)。结论 垂直半褥式缝合甲沟重建术结合改良嵌甲切除术对嵌甲性甲沟炎患者治疗疗效显著,缩短术后愈合时间,降低了复发率,值得临床推广应用。
英文摘要:
      Objective To explore the effects of vertical semi-mattress suture nail groove reconstruction combined with modified ingrown nail resection on healing time and recurrence rate of ingrown nail furrow inflammation. Methods A total of 64 patients with ingrown nail furrow inflammation who were treated in our hospital from March 2016 to March 2018 were randomly divided into control group and observation group, with 32 cases in each group, the patients in the control group were treated with partial or total nail extraction, while those in the observation group were treated with vertical semi-mattress suture nail groove reconstruction combined with modified ingrown nail resection, the curative effect of the two groups was observed, and the healing time and recurrence rate were counted. Results There was no significant difference in pain VAS score between the two groups before treatment (P>0.05), pain VAS decreased significantly in the two groups at 3 and 7 days after treatment, and the control group was significantly higher than the observation group (P<0.05); the wound infection rate of the control group was significantly higher than that of the observation group (P<0.05), and the average healing time of the observation group was significantly shorter than that of the control group (P<0.05); the cure rate of the observation group was significantly higher than that of the control group (P<0.05). The satisfaction VAS score of patients in the observation group was significantly higher than that in the control group (P<0.05); the recurrence rate in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Vertical semi-mattress suture nail groove reconstruction combined with modified ingrown nail resection is effective for patients with ingrown nail furrow inflammation, it can shorten the healing time, and reduce the recurrence rate, it is worthy of clinical application.
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