氧化物与化学母体切除术
Clark K Brackney1, Jennifer A Kipp1, Gregory Russell2
1*Department of Orthopaedic Surgery and Rehabilitation, Wake Forest University School of Medicine, Atrium Wake Forest Baptist Medical Center, Winston-Salem, NC.
Journal of the American Podiatric Medical Association
|August 27, 2025
概括
使用氧化物 (NaOH) 或进行的生长指甲的化学切除显示出类似的复发率和重新操作率. 这项研究发现这两种化学剂在治疗疼痛指甲边缘方面没有显著差异.
科学领域:
- 足部医学
- 皮肤病学
- 外科手术
背景情况:
- 化学切除术 (CM) 是疼痛的内生长脚的标准手术.
- 氧化 (NaOH) 和是用于破坏生殖指甲基质的常用化学剂.
- 评估CM中不同化学剂的有效性对于最佳患者结果至关重要.
研究的目的:
- 用氧化物 (NaOH) 与相比,化学切除术的复发率和重新操作率.
- 确定NaOH和CM之间是否存在统计学上显著的结果差异.
- 为CM程序中选择化学剂提供基于证据的见解.
主要方法:
- 在2年内对192名患者的病历进行了回顾.
- 使用或NaOH进行部分指甲突破的分析.
- 由三个足科医生进行的标准化CM程序.
主要成果:
- 总共有46个指甲边缘用和258个指甲边缘用NaOH处理.
- 每个边界的复制率为6.5%,而NaOH的复制率为7.8% (P = .89).
- 每个边界的复发率为10. 9%,而NaOH的复发率为8. 1% (P = . 58).
结论:
- 这项研究没有发现化学母体切除术中氧化物和之间的重复或复发率有统计学意义的差异.
- 这两种化学剂在长期治疗内生长的指甲方面似乎同样有效.
- 在NaOH和之间做出选择可能不会对患者在复发和重新手术方面的结果产生重大影响.
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