清除小部分甲母质治疗甲沟炎的临床效果

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。

Clinical effect of clearing a small part of nail matrix treating paronychia

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 4.92% respectively. Obviously,in the group B,the recurrence rate was lower than that in the group A （P〈0.05）. Conclusion Nail removal combined with clearance of a small part of nail matrix has advantages of small wound,low recurrence rate,and it does not affect the appearance of the new beetle basically.It is worthy of promotion and application.