外科手术微创与激光治疗118例嵌甲伴化脓性肉芽肿临床疗效观察

目的 探讨运用外科微创的方法 治疗嵌甲伴化脓性肉芽肿的临床疗效.方法 将118例患者随机分为两组,治疗组采用外科微创治疗,患者术前1d浓盐水浸泡患处30min,术中趾根神经阻滞麻醉下作半甲切除及化脓性肉芽肿刮除,石碳酸烧灼甲床,术后无菌油纱换药.对照组采用激光碳化切除,术前及术后处理基本相同（创面未用石碳酸处理）.结果 治疗组患者术后创面5～8d结痂干燥,术后10～12d创面痂膜脱落,术后2个月新甲长出,追访半年少见甲刺再嵌入及化脓性肉芽肿发生.与对照组相比,无论是手术时间还是创面愈合时间、治愈率都有显著差异.结论 外科微创治疗嵌甲伴化脓性肉芽肿疗效明显,与同期同类患者激光手术比较,手术时间短,术后创面愈合时间短,嵌甲及化脓性肉芽肿再发生率小.

Minimally invasive surgery treatment of intractable chronic ingrowntoenail with pyogenic granuloma

Objective To evaluate the clinical efficacy of minimally invasive surgery applied for intractable chronic ingrown toenail with pyogenic granuloma. Methods The afflicted part was dipped into the strong brine for 30minutes the day before operation. With anesthesia, half piece of the toenail was excised and purulent granuloma was curetted. Dressing was changed after three days postoperative using sterile gauze. Results Incrustation and dry surface were observed after 5 to 8 days postoperative and scabs were exfoliated after 10 days. New nails were formed in two months and no more ingrown toenails and pyogenic granuloma were found in the follow-up examination after six months. Conclusion Comparing with laser surgery received by other patients at the same time, this therapy has been characterized as shorter period of operation, healing and lower recurrence rate.