去顶开窗手术治疗肛周化脓性汗腺炎疗效分析  

Efficacy the go top fenestration treatment of perianal hidradenitis suppurativa

作　　者：葛宁[1] 

机构地区：[1]郑州大学附属郑州中心医院肛肠外科,450007

出　　处：《中国实用医刊》2016年第5期93-95,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨去顶开窗手术治疗肛周化脓性汗腺炎的临床疗效及安全性。方法将42例肛周化脓性汗腺炎患者分为研究组和对照组，研究组采用去顶开窗手术治疗，对照组行旷置引流术，比较两组患者的手术时间、术中出血量、住院时间等指标，评价两组患者的临床疗效及并发症情况。结果研究组手术时间、术中出血量、伤口愈合时间均优于对照组（P〈0．05）。研究组总有效率95．0％，与对照组的90．0％比较，差异未见统计学意义（P〉0．05）。研究组1例因病灶复发再次入院，其余随访1～2年未见复发；对照组20例患者存在不同程度的条索状瘢痕。2例病灶复发，1例皮瓣肿胀坏死。结论去顶开窗术和切开旷置引流术均是手术治疗肛周化脓性汗腺炎的有效手段，但去顶开窗手术微创操作，简单有效，能最大限度保留组织，是治疗肛周化脓性汗腺炎比较理想的方法。Objective To investigayte the top fenestration treatment of perianal hidradenitis suppurativa clinical efficacy and safety. Methods 42 patients with perianal hidradenitis suppurativa patients were divided into the study group and the control group, the study group to the top of the window using surgery, control group with exclusion drainage, two groups were compared operative time, blood loss, hospital stay indicators to evaluate the clinical efficacy of the two groups and complications. Results Study operative time, blood loss, wound healing time of study group were significantly better than the control group （P 〈0. 05）. The total effective rate of study group was 95.0%, which was better than 90. 0% of control group without significant difference （ P 〉 0. 05 ）. Study group 1 patients hospitalized due to lesions in relapse, the remaining 1 to 2 years of follow-up no recurrence ; there are different degrees of cord-like scar in the control group of 20 pa- tients. 2 lesions recur, 1 flap necrosis swelling. Conclusions Go top fenestration and drainage incision exclusion are an effective means of surgical treatment of perianal hidradenitis suppurativa, but to the top of fenestration minimally invasive procedure is simple and effective, can maximize the retention of tissue, the treatment of perianal purulent hidradenitis ideal method.

关 键 词：肛周化脓性汗腺炎 去顶开窗 矿置引流 疗效 

分 类 号：R657.1[医药卫生—外科学]