一期切除缝合术与皮瓣转移术治疗藏毛窦临床分析  

Clinical analysis of excision and primary suture and Limberg transposition flap for the treatment of pilonidal sinus

作　　者：江守军 赵勇[1] 王淼[1] 

机构地区：[1]青岛市第八人民医院普外科,266100

出　　处：《中国医师进修杂志》2016年第8期718-720,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的：比较过氧化氢、亚甲蓝处理后一期切除缝合术与菱形切除皮瓣转移术治疗骶尾部藏毛窦疗效。方法回顾性分析55例骶尾部藏毛窦患者的临床资料，其中经过氧化氢、亚甲蓝处理后一期切除缝合术治疗36例（缝合组），经菱形切除皮瓣转移术治疗19例（皮瓣组），观察两组手术时间、住院时间、切口愈合时间、并发症发生率、复发率等。结果两组住院时间、切口愈合时间、并发症发生率和复发率比较差异无统计学意义（P＞0.05）。缝合组手术时间明显短于皮瓣组[（51.25±7.02）min比（71.42±12.29）min]，差异有统计学意义（P=0.000）。结论过氧化氢、亚甲蓝处理后一期切除缝合术治疗骶尾部藏毛窦手术时间短，操作简单，能够取得良好疗效。Objective To compare the clinical therapeutic efficacy of excision and primary suture after the hydrogen peroxide and methylene blue treatment, and Limberg transposition flap for the treatment of pilonidal sinus. Methods The clinical data of 55 patients with sacrococcygeal pilonidal sinus were analyzed retrospectively. Thirty-six patients were treated by excision and primary suture after the hydrogen peroxide and methylene blue treatment （suture group）, and 19 patients were treated by Limberg transposition flap （flap group）. The operation time, length of hospital stay, incision healing time, incidence of complications and recurrence rate were compared between 2 groups. Results There were no significant differences in the length of hospital stay, incision healing time, incidence of complications and recurrence rate between 2 groups （P〉0.05）. The operation time in suture group was significantly shorter than that in flap group： （51.25 ± 7.02） min vs. （71.42 ± 12.29） min, and there was statistical difference （P = 0.000）. Conclusions Excision and primary suture after the hydrogen peroxide and methylene blue treatment is a good method for the treatment of pilonidal sinus. The operation time is short. It is easy to operate, and could achieve good results.

关 键 词：藏毛窦 过氧化氢 亚甲蓝 回顾性研究 

分 类 号：R635[医药卫生—外科学]