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首页> 外文期刊>Dermatologic surgery >Effect of curettage after segmental phenolization in the treatment of onychocryptosis: A randomized double-blind clinical trial
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Effect of curettage after segmental phenolization in the treatment of onychocryptosis: A randomized double-blind clinical trial

机译：分段酚化后刮宫术对甲隐隐窝病的影响：一项随机双盲临床试验

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Background Segmental phenolization for the treatment of onychocryptosis has a number of disadvantages, resulting from the cauterization of the tissue, including delayed healing and prolonged drainage. Although one may expect excision or curettage of the cauterized tissue after phenolization to benefit the healing process, these simple procedures have not been suitably studied. Objective To examine the effect of curettage primarily on cicatrization or healing time and secondarily on postoperative bleeding. Materials and Methods Fifty-one patients (80 feet) with stage I or IIa onychocryptosis according to the classification of Mozena were enrolled in this randomized, double-blind, parallel-group, controlled clinical trial. A total of 137 phenolizations were performed on affected folds of ingrowing hallux nails. Each hallux was randomly assigned to one of two groups (experimental [phenolization with curettage]; control [phenolization alone]). Results Curettage reduced healing time (7.49 ± 1.76 days vs 12.38 ± 3.01 days; p =.001), increased postoperative bleeding (p <.001), led to lower rates of infection (p =.01), and increased postoperative pain (p =.028). Conclusion Curettage of the cauterized tissue after segmental phenolization reduces healing time.
机译：背景技术分段酚化用于治疗甲隐隐秘症具有许多缺点，这归因于组织的烧灼，包括延迟的愈合和长时间的引流。尽管可以预期在酚化后切除或刮除烧灼的组织有益于愈合过程，但是尚未对这些简单的步骤进行适当的研究。目的探讨刮宫术对瘢痕愈合或愈合时间的影响，其次对术后出血的影响。材料与方法根据Mozena的分类，对51位I期或IIa期甲隐性甲病的患者（80英尺）进行了这项随机，双盲，平行分组，对照的临床试验。在向内生长的拇趾指甲的折痕上共进行了137次酚化。每个拇指被随机分为两组（实验性[刮除酚化;对照组[仅酚化]）。结果刮宫手术减少了治愈时间（7.49±1.76天与12.38±3.01天; p = .001），术后出血增加（p <.001），感染率降低（p = .01）和术后疼痛增加（ p = .028）。结论分段酚化后烧灼烧灼的组织可减少愈合时间。

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