全拔甲后甲板回植术及部分拔甲术与传统全拔甲术的对比评价

发布时间：2018-03-02 19:40

本文选题：拔甲术　切入点：部分拔甲　出处：《四川大学学报(医学版)》2017年01期 　论文类型：期刊论文

【摘要】：目的比较保留甲板的全拔甲后甲板回植术和部分拔甲术与传统全拔甲术的区别。方法患者由随机数字表分配到传统全拔甲组(对照组)、部分拔甲组、全拔甲后甲板回植术组(全拔甲回植组),每组20例,分别行不同拔甲手术。比较3种术后患者疼痛、甲床完全愈合时间、甲板完全生长时间、甲完全生长后结果评分。结果3组患者基线差异无统计学意义。术后8h,对照组患者疼痛评分高于其他两组(P0.05)。术后48h,部分拔甲组20例患者疼痛全部消失,而全拔甲回植组90%(18/20)患者疼痛消失,高于对照组的45%(9/20)。创面愈合时间:对照组全拔甲回植组部分拔甲组(P0.05)。甲板完全生长时间:部分拔甲组最短,对照组最长,全拔甲回植组居中但与前两者比较差异无统计学意义。对照组甲板恢复最后效果的评分低于部分拔甲组和全拔甲回植组(P0.05),而后两组评分差异无统计学意义。结论部分拔甲术可减少甲板缺失,对甲床的损伤较少,疼痛较轻,可加快愈合,改善预后。而在需要大面积暴露甲床,不得不全拔甲的时候,应在术后将甲板回植,可获得更好的疗效。
[Abstract]:Objective to compare the difference between total nail removal replantation and partial nail removal with reserved decks and traditional total nail removal. Methods patients were assigned from random number table to traditional total nail removal group (control group, partial nail removal group, control group, partial nail removal group). The patients in the group of total nail removal and replantation (20 cases in each group, 20 cases in each group) were treated with different nail removal procedures. The pain, the time of complete healing of nail bed, and the time of complete deck growth were compared among the 3 postoperative patients. Results there was no significant difference in baseline between the three groups. The pain score of the control group was higher than that of the other two groups at 8 hours after operation (P 0.05). 48 hours after operation, the pain of 20 patients in the partial A group disappeared completely. However, the pain of the patients in the total replantation group (90 / 18 / 20) disappeared, which was higher than that in the control group (45 / 20 / 20). The wound healing time of the control group was 45 / 20 / 20. The healing time of the wounds in the control group was as follows: the total growth time of the control group was the shortest in the partial nail extraction group, and the longest in the control group. The final effect of deck recovery in the control group was lower than that in the partial removal group (P 0.05), and there was no significant difference between the latter two groups (P 0.05). Partial armor removal can reduce deck loss, The nail bed has less injury and less pain, which can accelerate healing and improve prognosis. When large area of exposed nail bed is needed, the decks should be replanted after operation, and better results can be obtained.
【作者单位】：四川大学华西医院皮肤科;四川大学学报(医学版)编辑部;
【基金】：国家自然科学基金青年基金(No.81502747)资助
【分类号】：R751.05

【参考文献】