形状记忆合金线材矫正联合物理填塞在青少年嵌甲性甲沟炎治疗中的应用OA
Application of Shape Memory Alloy Wire Correction Combined with Physical Packing in the Treatment of Adolescent Ingrown Toenail Paronychia
目的:探究形状记忆合金(Shape Memory Alloy,SMA)线材矫正联合物理填塞治疗嵌甲性甲沟炎的临床效果.方法:选取2021年9月-2022年6月笔者医院收治的青少年嵌甲性甲沟炎患者30例,采用SMA线材矫正联合物理填塞方法进行了嵌甲性甲沟炎矫正治疗,评估治疗后疼痛程度[视觉模拟评分(VAS)]、疗效及复发率.结果:本组30例患者,均成功完成此矫正操作治疗,患者的炎症和疼痛逐渐消失.治疗1个月后,所有患者静息状态下和运动状态下VAS评分均低于矫正治疗前(P＜0.05).随访1年,27例(90％)治愈,2例(6.7％)改善,1例(3.3％)复发.结论:SMA线材矫正联合物理填塞法治疗嵌甲性甲沟炎操作简便,能够快速缓解疼痛,临床疗效确切,复发率低,值得临床推广应用.
Objective To explore the clinical effect of Shape Memory Alloy(SMA)wire correction combined with physical packing in the treatment of adolescent ingrown toenail paronychia.Methods Thirty adolescent patients with ingrown toenail and paronychia,treated at the hospital between September 2021 and June 2022,underwent correction using shape memory alloy wire combined with physical packing.Post-treatment pain levels[using the Visual Analogue Scale(VAS)],clinical efficacy,and recurrence rate were evaluated.Results All 30 patients in this group successfully completed the corrective treatment,with their inflammation and pain gradually subsiding.One month after treatment,VAS scores at rest and during movement were significantly lower than pre-treatment levels in all patients(P＜0.05).During the 1-year follow-up,27 patients(90％)were cured,2 patients(6.7％)showed improvement,and 1 patient(3.3％)experienced recurrence.Conclusion The combined treatment of ingrown toenail with paronychia using SMA wire correction and physical packing offers a simple and straightforward procedure,provides rapid pain relief,demonstrates proven clinical efficacy with a low recurrence rate,and deserves wider clinical adoption.
陈炜达;吴春彪;张强
扬州大学附属医院医学整形美容科江苏扬州 225002浙江萧山医院手足显微外科 浙江 杭州 311200扬州大学附属医院医学整形美容科江苏扬州 225002
医药卫生
嵌甲性甲沟炎形状记忆合金线材矫正青少年复发
ingrown toenail paronychiashape memory alloy wirecorrectionadolescentsrelapse
《中国美容医学》 2026 (2)
13-16,4
扬州市科技计划项目(编号:YZ2021076)扬州市卫生健康委面上项目(编号:2023-2-15)
评论