首页|骶尾部侧方位弧形切口一期缝合+引流术治疗藏毛窦的临床观察

骶尾部侧方位弧形切口一期缝合+引流术治疗藏毛窦的临床观察

Clinical Observation of Sacrococcygeal Lateral Azimuthal Arc Incision with One-stage Suture and Drainage for Treatment of Pilar Sinus

扫码查看
目的:探究骶尾部侧方位弧形切口一期缝合+引流术治疗藏毛窦的临床疗效.方法:收集2021年1月—2024年2月期间在我院接受手术治疗的骶尾部藏毛窦患者60例,其中选取2021年1月至2022年12月作为对照组时间段,纳入30例患者;选取2023年1月至2024年2月作为观察组时间段,纳入30例患者.对照组给予骶部藏毛窦切除开放、切除缝合术;观察组给予骶尾部侧方位弧形切口一期缝合+引流术.比较两组临床疗效有效率;术后疼痛感持续时间、换药次数、创面愈合时间及瘢痕长度;并发症发生与复发情况.结果:相比对照组临床疗效有效率(76.67%),观察组有效率(96.67%)更高(P<0.05).相比对照组,观察组术后疼痛感持续时间短、换药次数少、创面愈合时间短、瘢痕长度短(P<0.05).相比对照组并发症发生率(33.33%)、复发率(13.33%),观察组并发症发生率(6.67%)、复发率(0.00%)更低(P<0.05).结论:骶尾部藏毛窦经骶尾部侧方位弧形切口一期缝合+引流术治疗的疗效显著,且能缩减术后疼痛时间、创面愈合时间,减少换药次数,术后并发症少、复发风险低,值得推广使用.
Objective:To explore the clinical effect of one-stage suture+drainage with lateral orientation arc-shaped incision in the treatment of pilose sinus.Methods:A total of 60 patients with pilonidal sinus in the sacrococcygeal region who underwent surgical treatment in our hospital from January 2021 to February 2024 were collected.Among them,30 patients from January 2021 to December 2022 were selected as the control group.From January 2023 to February 2024,30 patients were included in the observation group.The control group was treated with sacral sinus resection and suture.Observation group was given sacrococcygeal lateral azimuth arc incision with one-stage suture+drainage.The clinical efficacy and efficiency of the two groups were compared.Postoperative pain duration,dressing change times,wound healing time and scar length;Occurrence and recurrence of complications.Results:Compared with the control group(76.67%),the clinical efficacy rate of the observation group(96.67%)was higher(P<0.05).Compared with the control group,the observation group had shorter postoperative pain duration,fewer dressing changes,shorter wound healing time and shorter scar length(P<0.05).Compared with the complication rate(33.33%)and recurrence rate(13.33%)in the control group,the complication rate(6.67%)and recurrence rate(0.00%)in the observation group were lower(P<0.05).Conclusion:The treatment of sacrococcygeal trachysetrum with one-stage suture and drainage through sacrococcygeal lateral orientation curved incision has significant efficacy,and can reduce postoperative pain time,wound healing time,dressing changes,postoperative complications and recurrence risk,which is worthy of popularization.

Cangseta SinusSacrococcygeal Arc IncisionSutureDrainageClinical Effect

古世玲、胡红专

展开 >

深圳市龙岗中心医院 肛肠外科(广东 深圳 518000)

藏毛窦 骶尾部弧形切口 缝合 引流术 临床疗效

深圳市龙岗区医疗卫生科技计划项目

LGWJ2022-5

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(5)