封闭式负压引流术在骶尾部藏毛窦中应用效果  

The Efficacy of Vacunm Sealing Drainag Applied in the Treatment of Sacrococcygeal Pilonidal Sinus

作　　者：王梦炎[1] 方凌云 裘晨钊 金河 孙刚[1] 罗灿军 WANG Meng-yan;FANG Ling-yun;QIU Chen-zhao;JIN He;SUN Gang;LUO Can-jun(General Surgery Dept,of No.906 Hospital of PLA Ningbo,Zhejiang 315040)

机构地区：[1]中国人民解放军第九零六医院普外科,浙江宁波315040

出　　处：《中国肛肠病杂志》2022年第3期56-57,共2页Chinese Journal of Coloproctology

摘　　要：目的:探讨封闭式负压引流术(VSD)在骶尾部藏毛窦治疗中的应用效果。方法:回顾性分析32例骶尾部藏毛窦患者的临床资料,随机分为观察组17例和对照组15例,观察组行菱形皮瓣成形术(Limberg)并VSD治疗,对照组15例行Limberg手术并常规负压引流球引流。比较2组临床指标及疗效。结果:观察组术后引流时间短于对照组(P <0.05),术后1d、3d和7d疼痛评分均低于对照组(P <0.05)。2组在手术时间、住院时间及术中出血量方面比较,差异无统计学意义(P>0.05)。术后随访1年未见感染复发及创口裂开等情况。结论:Limberg手术联合VSD治疗骶尾部藏毛窦可明显减轻患者术后疼痛,加速创面愈合,值得临床推广应用。Objective To investigate the efficacy of vacuum sealing drainag(VSD)applied in the treatment of sacrococcygeal pilonidal sinus(SPS).Methods Reviewed and analysed the clincial data of 32SPS patients,randomly divided them into observation group(17cases,received Limberg procedure and VSD)and control group(15cases,Limberg procedure and routine drainage with negative pressure drainage ball),and compared both group’s clinical norms and effect.Results In postoperative drainage time,and in the score ratings on pain at 1,3,and 7dafter surgery,observation group was respectively shorter,and lower than control group(all,P <0.05);in operating time,hospitalization stay,and intraoperative bleeding volume there was no statistical difference between the two groups(P >0.05);The follow-up of 1year after surgery did not find any infection,recurrence,and incision dehiscence,etc.status.Conclusion Limberg procedure combined with VSD in the treatment of SPS can significantly reduce patients’ postoperative sufferings,accelerate wound-surface healing,thus is worth to be popularized to use clinically.

关 键 词：藏毛窦 Limberg手术 封闭式负压引流 效果 

分 类 号：R657.1[医药卫生—外科学]