摘要
目的 探讨改良菱形皮瓣联合VSD负压吸引对复杂性藏毛窦的治疗效果。方法选取本院2012年1月至2016年8月收治的42例复杂性藏毛窦患者,按照随机数字表法分为研究组与对照组。研究组30例行改良菱形皮瓣联合VSD负压吸引治疗,对照组12例行单纯藏毛窦切除。比较两组患者的创面大小、恢复日常活动(行走、坐、排便等)时间、住院时间、创口愈合时间。所有患者随访2年,观察术后并发症及复发情况。结果研究组和对照组创面大小分别为(17.72±3.07)cm^2和(15.81±3.14)cm^2,两组比较差异无显著性(P>0.05)。研究组患者恢复日常活动时间、住院时间、创口愈合时间[分别为(14.31±3.37)天、(15.55±3.68)天、(18.33±4.03)天]明显短于对照组[分别为(19.32±4.27)天、(23.04±3.52)天、(55.36±10.23)天],差异均有显著性(P<0.05)。研究组患者术后1例出现皮瓣张力性水泡,1例出现皮瓣位置皮肤麻木,均经常规换药治疗后自愈,对照组2例术后自觉尾骶部瘢痕处皮肤麻木。所有患者随访2年未见复发。结论改良菱形皮瓣联合VSD负压吸引治疗复杂性藏毛窦效果较好,值得临床推广应用。
Objective To explore the role of modified rhomboid flap plus VSD negative pressure suction in complicated pilonidal sinus Methods 42 hospitalized patients with complicated pilonidal sinus between Jan 2012 to Aug 2016 were randomly divided into stud group（modified rhomboid flap ＋ VSD） and control group（lay open）. Surgical areas, time to return daily activities, hospital stay, an time of wound healing were compared between the two groups. Complication and recurrence rate were the mean end points during th24-months follow-up. Result Surgical areas in the control group were slightly larger than the study group but insignificantly. Patients in th study group had much shorter time of return to daily activities, hospital stay, and wound healing than in the control group. Patients in th study group had 1 case of flap tension blisters and 1 case of skin flap numbness, which recovered by conventional dressing treatment. N recurrence was observed in all both two groups. Conclusion Modified rhomboid flap reconstruction technique combining VSD negativ pressure suction in the treatment of complicated pilonidal sinus has obvious advantages when compared with lay-open method, whic should be recommended preferentially.
作者
苏锦华
梁嘉迪
钱玉儿
SU Jin-hua;LIANG Jia-di;QIAN Yu-er(Anoreetal Department, Dongguan People ＇s Hospital, Guangdong Dongguan 523000, Chin)
出处
《中国医刊》
CAS
2018年第4期409-411,共3页
Chinese Journal of Medicine
关键词
改良菱形皮瓣成型术
负压吸引
藏毛窦
Modified rhomboid flap
VSD negative pressure suction
Pilonidal sinus
