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改良Vandenbos手术治疗嵌甲的临床研究OA

Study on the improved Vandenbos surgery for the treatment of ingrown nails

中文摘要英文摘要

目的 探讨改良Vandenbos手术术式治疗嵌甲的临床效果.方法 回顾性分析2020-2023年在我院皮肤外科采用改良Vandenbos手术治疗的53例嵌甲患者,统计创面愈合时间和复发率.采用欧洲健康指数量表(EuroQol)比较患者术前及术后6个月在行动能力、自我照顾、日常活动、疼痛/不适、焦虑/抑郁5个维度的变化.结果 53例患者平均创面愈合时间19.71 d.术后6个月,复发率为1.88%,患者在行动能力、自我照顾、日常活动、疼痛/不适、焦虑/抑郁5个维度均较术前有明显改善,差异均有统计学意义(均P<0.001).结论 改良Vandenbos手术术式保持了低复发率,缩短了创面愈合时间,在疼痛、功能状态和生活质量方面都有显著改善,在临床实践中具有一定的应用价值.

Objective To explore the clinical efficacy of the improved Vandenbos surgical pro-cedure for the treatment of ingrown nails.Methods Clinical data of 53 patients with ingrown nails treated with the improved Vandenbos surgery in the dermatology department of our hospital from 2020 to 2023 were collected.The recurrence rate and wound healing time were analyzed.The changes in the five dimensions,including mobility,self-care,daily activities,pain/discom-fort and anxiety/depression evaluated using the European Health Index(EuroQol)were compared prior to and 6 months after the surgery.Results Using the modified Vandenbos surgical proce-dure,the recurrence rate was 1.88%,with an average wound healing time of 19.71 days.All five dimensions differed significantly prior to and 6 months after the surgery(all P<0.001).Conclusions Utility of the improved Vandenbos surgical procedure lowers recurrence rate,short-ens wound healing time,and significantly improves pain,functional status,and quality of life.This method can be utilized in the clinical practice.

班超;樊世鹏;李劲涛;张斌

河南科技大学第二附属医院北京中医药大学东直门医院洛阳医院,河南 洛阳 471000河南科技大学第二附属医院河南科技大学第二附属医院

嵌甲Vandenbos手术

ingrown nailVandenbos surgery

《皮肤性病诊疗学杂志》 2024 (12)

832-835,4

10.3969/j.issn.1674-8468.2024.12.005

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