CAJ | 학술논문

目的：探讨改良式嵌甲切除术治疗嵌甲甲沟炎临床疗效。方法：2010年1月-2013年12月收治嵌甲型甲沟炎患者94例，根据手术方式不同，分为对照组(47例)和改良组(47例)。对照组接受传统的手术治疗方法，而改良组则采用改良的手术治疗方法，比较两组治疗过程中的疼痛情况、治疗效果和随访情况。结果：改良组的0级及Ⅰ级疼痛明显多于对照组，其疼痛较轻，差异有统计学意义(P＜0.05)；改良组复发率、换药次数及愈合时间明显少于对照组，差异有统计学意义(P＜0.05)。结论：应用改良式嵌甲切除术治疗嵌甲甲沟炎效果较好，能够明显减轻患者疼痛情况，且复发率、换药次数及愈合时间明显减少。
목적：탐토개량식감갑절제술치료감갑갑구염림상료효。방법：2010년1월-2013년12월수치감갑형갑구염환자94례，근거수술방식불동，분위대조조(47례)화개량조(47례)。대조조접수전통적수술치료방법，이개량조칙채용개량적수술치료방법，비교량조치료과정중적동통정황、치료효과화수방정황。결과：개량조적0급급Ⅰ급동통명현다우대조조，기동통교경，차이유통계학의의(P＜0.05)；개량조복발솔、환약차수급유합시간명현소우대조조，차이유통계학의의(P＜0.05)。결론：응용개량식감갑절제술치료감갑갑구염효과교호，능구명현감경환자동통정황，차복발솔、환약차수급유합시간명현감소。
Objective:To explore the clinical efficacy of the modified ingrown toenail excision in the treatment of ingrown toenails paronychia.Methods:94 cases with ingrown nail type paronychia were selected from January 2010 to December 2013.According to the different modes of operation,they were divided into the control group(47 cases) and the improved group(47 cases).The control group were treated with traditional operation,and the improved group were treated with improved method of operation.We compared the pain and the therapeutic effect of the two groups.Results:In the improved group,grade 0 and Ⅰwere significantly more than that of the control group.The pain was lighter.The difference was significant(P<0.05).In the improved group,the recurrence rate,the number of dressing changes and healing time were significantly less than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:The clinical efficacy of the modified ingrown toenail excision in the treatment of ingrown toenails paronychia is good.It can significantly reduce the pain of patients,and the recurrence rate.The number of dressing changes and healing time are significantly reduced.