双改良Limberg皮瓣和Karydakis皮瓣技术治疗骶尾部藏毛窦的临床疗效比较  

Comparison of the clinical effects of the double-modified Limberg flap and Karydakis flap techniques in the treatment of pilonidal sinus

作　　者：卑佳怡 张宏[2] 刘鼎盛[2] BEI Jiayi;ZHANG Hong;LIU Dingsheng(The Second Clinical College,Shengjing Hospital of China Medical University,Shenyang 110004,China;Department of Colorectal Surgery,Shengjing Hospitalo of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学第二临床学院,沈阳110004 [2]中国医科大学附属盛京医院结直肠肿瘤外科,沈阳110004

出　　处：《中国医科大学学报》2024年第7期597-602,共6页Journal of China Medical University

基　　金：辽宁省民生科技计划(2021JH2/10300053)。

摘　　要：目的 比较双改良Limberg皮瓣和Karydakis皮瓣技术治疗骶尾部藏毛窦的临床疗效。方法 选取2015年6月至2019年6月中国医科大学附属盛京医院结直肠肿瘤外科收治的骶尾部藏毛窦患者80例,采取随机数字表法将患者分为双改良Limberg皮瓣技术组(Limberg组,采用双改良Limberg皮瓣技术)和Karydakis皮瓣技术组(Karydakis组,采用Karydakis皮瓣技术),每组40例。比较2组患者手术时间、术中出血量、住院时间、返回工作时间、并发症发生以及随访3年的复发及处理情况。结果 与Karydakis组比较,Limberg组手术时间较长(P <0.05)。2组患者术中出血量、住院时间及返回工作时间比较无统计学差异(均P> 0.05)。Limberg组、Karydakis组并发症(浅表性水泡、切口血清肿、切口裂开、皮瓣坏死、切口血肿、切口感染)发生率分别为20%、5%,差异有统计学意义(P <0.05)。3年随访结果显示,2组患者均出现了1例复发;复发患者均接受了再次手术切除,术后效果较好(Ⅱ期愈合)。结论 双改良Limberg皮瓣和Karydakis皮瓣技术治疗骶尾部藏毛窦均疗效显著;与双改良Limberg皮瓣技术比较,Karydakis皮瓣技术治疗骶尾部藏毛窦并发症发生率较低,手术时间也较短。Objective To analyze the clinical efficacy of the double-modified Limberg and Karydakis flap techniques in the treatment of pilonidal sinuses.Methods Eighty patients with pilonidal sinuses attending the Department of Colorectal Surgery,Shengjing Hospital of China Medical University from June 2015 to June 2019 were enrolled.The randomized digital table method was used to divide the patients into the Limberg flap technique group(Limberg group)and the Karydakis flap technique group(Karydakis group),with 40 patients in each group.The operation time,amount of intraoperative blood loss,length of hospital stay,time taken to return to work,complications,recurrence and treatment over a 3-year follow-up period were compared between the two groups.Results The operation time was significantly longer in the Limberg group than in the Karydakis group(P<0.05).There were no significant differences in the amount of intraoperative blood loss,length of hospital stay,or return time between the two groups(all P>0.05).The incidence of complications(blisters,seroma,incision dehiscence,flap necrosis,hematoma,and incision infection)in the Limberg group and the Karydakis group was 20%and 5%,respectively,and the difference was statistically significant(P<0.05).During the 3-year follow-up period,there was one case of recurrence in each group.All patients with recurrence underwent surgical resection with good postoperative results(stage II healing).Conclusion The double-modified Limberg flap and Karydakis flap technique may be effective for the treatment of pilonidal sinuses.Compared with the double-modified Limberg flap technique,the incidence of complications was lower and the operation time was shorter with the Karydakis flap technique.

关 键 词：双改良Limberg皮瓣技术 Karydakis皮瓣技术 骶尾部藏毛窦 

分 类 号：R615[医药卫生—外科学]