改良切开引流术一次性治愈感染性皮脂腺囊肿的应用研究  

Improved incision and drainage for the treatment on infected sebaceous glands cyst

作　　者：林玉珍[1] 张莉莉[1] 罗玉珍[1] 刘美凤[1] 谢丽芬[1] 

机构地区：[1]中山大学附属江门医院,江门529030

出　　处：《国际医药卫生导报》2013年第20期3177-3180,共4页International Medicine and Health Guidance News

摘　　要：目的 探讨改良切开引流术一次性治疗感染性皮脂腺囊肿的疗效.方法 126例感染性皮脂腺囊肿患者随机分为观察组和实验组,各63例.观察组采用传统的切开引流换药治疗,实验组在常规切开引流的基础上,清除囊壁,修剪皮缘,再配合用3L医用输液贴粘上平整对齐的皮缘.比较两组的愈合时间、治疗费用和复发率.结果 20天后,实验组治愈55例,观察组治愈42例.实验组患者平均医疗费用为292元,观察组为352元.实验组无复发,低于观察组.经统计学分析,两组的治愈时间、医疗费用和复发率均有统计学意义（P＜0.05）.结论 改良术在治疗感染性皮脂腺囊肿中不仅可以缩短治愈时间,还能减少患者的医疗费用,降低复发率,值得临床推广应用.Objective To observe the effects of improved incision and drainage for the treatment of infected sebaceous glands cyst.Methods 126 patients with infected sebaceous glands cyst were randomly divided into observation group and experimental group.63 cases in observation group were treated with conventional incision and drainage.The rest patients in experimental group were treated with removal of capsule wall,trim of the incisions and stick up the flat incisions＇ edges with 3L medical infusion stick on the basis of the conventional incision and drainage.The healing time,costs and relapse rates between the 2 groups were compared.Results 55 cases in experimental group and 42 cases in observation group were cured in 20 days.The average costs in experimental and observation groups were 292 and 352 RMB respectively.No recurrence cases appeared in experimental group.The differences of healing time,costs and relapse rates between the 2 groups were all statistically significantly （P〈0.05）.Conclusions The improved techniques in the treatment of infected sebaceous glands cyst can not only shorten the healing time,but also can reduce the patients＇ medical expenses and recurrence rate,and it is worthy of extended application.

关 键 词：改良术 皮脂腺囊肿 感染 切开引流 

分 类 号：R632[医药卫生—外科学]