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Abstract：
Background Ingrown toenail is a common condition that results in chronic pain, recurrent infections, and difficulty in performing daily activities. Our aim is to compare two surgical methods for the treatment of ingrown toenails: wedge resection with curetting versus wedge resection curetting followed by electrocauterization of the nail bed. Methods A prospective, comparative study that included 130 patients with ingrown toenails. All patients had stage II or III disease. We divided the participants into two groups according to the type of surgery and all patients were followed up for 6 months. The outcomes measured were the incidence of postoperative bleeding and infection, recovery time, patient satisfaction, and recurrence rate 6 months after surgery. Results Of the 130 patients included, 59 (45.4%) underwent excision and curetting of the nail matrix (group 1) and 71 (54.6%) underwent excision, curetting, and electrocauterization of the nail matrix (group 2). The postoperative infection rates were 20.3 and 4.2% in the first and second groups, respectively ( p = 0.004). Patient satisfaction was 76.3% among the first group, while 91.5% of patients in the second group were satisfied with the results of surgery. Six months postoperatively, recurrence rates were 25.4 and 4.2% in the first and second groups, respectively ( p = 0.001). Conclusion Wedge excision and curettage, followed by electrocauterization of the ingrown toenail is a safe treatment modality with a high success rate, that is evident by a lower recurrence rate, and greater patient satisfaction, with no effect on postoperative pain score or recovery time.
摘要：
背景技术内胎趾甲是导致慢性疼痛的常见病,反复感染,难以进行日常活动。我们的目的是比较两种治疗向内生长的脚趾甲的手术方法：楔形切除术和楔形切除术，然后对甲床进行电灼烧。方法A前瞻性，比较研究包括130例脚趾甲向内生长的患者。所有患者均为II期或III期疾病。根据手术类型将患者分为两组，所有患者均随访6个月。测量的结果是术后出血和感染的发生率，恢复时间,患者满意度,术后6个月复发率。结果在纳入的130例患者中，59例（45.4％）接受了指甲基质的切除和刮削（第1组），71例（54.6％）接受了切除，刮削,和指甲基质的电烧灼(第2组)。第1组和第2组术后感染率分别为20.3%和4.2%,分别(p=0.004)。第一组患者满意度为76.3%，而第二组91.5%的患者对手术效果满意。术后六个月,第一和第二组的复发率分别为25.4%和4.2%,分别(p=0.001)。结论楔形切除术和刮宫术,其次是向内生长的脚趾甲的电烧灼是一种安全的治疗方式，具有很高的成功率，较低的复发率证明了这一点，和更高的患者满意度，对术后疼痛评分或恢复时间无影响。
