摘要
为探讨手术切除分层缝合治疗骶尾部藏毛窦的临床疗效，回顾2012年3月至2015年1月成都中医药大学附属医院肛肠科收治的17例骶尾部藏毛窦患者资料，其中13例采用手术切除分层缝合术，3例采用菱形皮瓣成型术，1例采用减张缝合敞开引流术，就患者手术时间、创面愈合时间及复发率进行统计分析。结果显示，手术切除分层缝合术手术时间为（56．31±16．65）min，创口愈合时间为（17．15±1．57）d；减张缝合敞开引流术手术时间为45min，创口愈合时间为84d；菱形皮瓣成型术手术时间为（76．67±12．58）min，创口愈合时间为（18．67±2．52）d。随访6～38个月，均无复发。结果表明，在严格掌握适应证及禁忌证的情况下，手术切除分层缝合术治疗骶尾部藏毛窦具有术式简单、疗效确切、复发率低、术后疼痛轻、创面愈合快等优点，临床可优先选择此术式。
In order to investigate the clinical effect of surgical resection and suture layer by layer in the treatment of sacrococcygeal pilonidal sinus（SPS）, authors retrospectively studied the data of the 17 cases who admitted in author＇s hospital coloproctological department from March 2012 to Jan. 2015,included 13 undergoing surgical resection suture layer by layer, 3 undergoing rhombus {lap-plasty procedure, 1 under- going relaxation suture open drainage; then analyzed their operation time, wound-surface healing time and recurrence rate.As results,as to surgical resection suture layer by layer, the operation time was 56.31±16.65 min,wound healing time was 17.15±1.57 min;as to relaxation suture open drainage,the time was 45 min, 84 d, respectively; as to rhombus {lap-plasty, the time was 76.67±12.58 mm, 18.67±2.52 d, respectively ~the follow-up of 6-38 months did not find any recurrence.Results show that if strictly master indication and contraindication the procedure of surgical resection suture layer by layer for sacrococcygeal pilonidal sinus could have such merits as manipulation being simple, effect determined,low recurrence rate, mild postoperative pain of patient and faster healing of wound-surface,etc, thus be chosen first and clinically.
出处
《中国肛肠病杂志》
2015年第10期51-53,共3页
Chinese Journal of Coloproctology
关键词
藏毛窦
骶尾部
手术切除
分层缝合
疗效
Pilonidal sinus
Sacral-tail
Surgical resection
Suture layer by layer
Effect
