骶尾部潜毛窦手术切口的引流  

Drainage of surgical incision for sacrococcystal latent hairy sinus

作　　者：李日增 LI Rizeng(Shenzhen Baoan District Shiyan people's Hospital,Guangdong,Shenzhen 518018,China)

机构地区：[1]深圳市宝安区石岩人民医院,广东深圳518108

出　　处：《中国医药科学》2020年第7期263-265,共3页China Medicine And Pharmacy

摘　　要：目的探讨骶尾部潜毛窦手术切口的引流。方法选取我院2016年5月~2018年5月接收的符合此次临床诊断标准的42例患者为研究对象,随机分为对比组和实验组,每组21例。其中,对比组给予实验内容接受常规手术治疗,实验组患者按照研究要求,将开放性切口把切口延长至肛门缘以保证切口的引流通畅,两组病例采用不一样的治疗方案,对其疗效进行评价,并对其指标变化进行观察分析,如手术指标、临床疗效、切口潜毛窦的复发率及并发症发生率。结果实验组患者的手术时间较对比组患者长,但术中出血量以及住院时间都小于对比组,实验组的临床满意度大于对比组;两组患者切口潜毛窦的复发率以及并发症发生率对比,切口潜毛窦的复发率,实验组远远小于对比组,另外,实验组的并发症率明显小于对比组;实验组的临床疗效优于对比组,差异有统计学意义(P<0.05)。结论骶尾部潜毛窦手术中,在切除干净病灶的前提下,开放性切口并把切口延长至肛门缘以保证切口的引流通畅,此切口设计可使复发率降低到接近零,比一期或二期减张缝合的切口潜毛窦的复发率要低,值得在临床上进行推广。Objective To explore the drainage of the incision of the secretory sinus of sacrococcygeal region.Methods 42 patients who met the clinical diagnosis standard received by our hospital from May 2016 to May 2018 were selected as the study objects,and they were randomly divided into control group and study group according to the way of blind selection,21 cases/group.Among them,the control group received routine surgical treatment for the experimental content,the study group patients extended the incision to the anal margin according to the research requirements to ensure the smooth drainage of the incision,the two groups of patients used different treatment plans to evaluate the efficacy,and the changes of the indicators were observed and analyzed,such as:surgical indicators,clinical efficacy,the restoration of incisional hair sinus Incidence and complications.Results The operation time of the patients in the study group was longer than that in the control group,but the amount of intraoperative bleeding and the length of stay were less than that in the control group,and the clinical satisfaction of the study group was greater than that in the control group;The recurrence rate and the incidence of complications of the incisional sinus in the two groups were compared,and the recurrence rate of the incisional sinus in the study group was far less than that in the control group.In addition,the complication rate of the study group was significantly lower than that in the control group the clinical effect of the study group was better than that of the control group,the difference between the two groups was significant,there was statistical value(P<0.05).Conclusion in sacrococcygeal surgery,open incision and extend the incision to the anal margin to ensure the smooth drainage of the incision.The design of this incision can reduce the recurrence rate to nearly zero,which is lower than the recurrence rate of the first or second stage incision.The results of this study confirm that it is worth popularizing in clinical practice

关 键 词：骶尾部 潜毛窦手术切口 引流 慢性窦道 囊肿 

分 类 号：R657.1[医药卫生—外科学]