岭南现代临床外科2024，Vol.24Issue(2)：110-115,6.DOI:10.3969/j.issn.1009-976X.2024.02.005
适形皮瓣技术治疗骶尾部藏毛窦的回顾性研究
A retrospective study on the treatment of sacrococcygeal pilonidal sinus with conformal flap tech-nique
王谦谦 1王坚衡 1韩先龙 2董永珍 1刘民 1张志刚 1刘春香 1刘鹏林1
作者信息
- 1. 青岛大学附属医院肛肠科,山东青岛 266003
- 2. 青岛市海慈医疗集团肛肠科,山东青岛2266033
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy of conformal flap technique(Limberg operation combined with Karydakis operation)and Limberg operation in the treatment of sacrococcygeal pilonidal sinus.Methods A retrospective study was conducted on 40 patients who met the inclusion criteria and received treatment for large pilonidal sinus in the anorectal Department of Affiliated Hospital of Qingdao University from January 2021 to January 2023,and were divided into two groups according to the operation type:conformal flap group and Limberg flap group.Postoperative rehabilitation indexes of patients in the two groups were observed and compared:the time of negative pressure drainage tube removal,the time of complete suture removal after surgery,the pain score of the patient on the 1st and 3rd day after surgery(using VAS score),postoperative complications(incision bleeding,incision infection,incision dehiss)and recurrence.Results The surgery was successful in both groups.The pain score of the conformal flap group was lower than that of the Limberg flap group on the first day after surgery,with statistical signifi-cance(P＜0.05),indicating that the conformal flap technique could reduce postoperative pain more than Limberg surgery.Drainage tube removal time and suture removal time were shorter in the conformal flap group than Limberg flap group,and the difference was statistically significant(P＜0.05).The results showed that postoperative recovery was faster in the conformal flap group than in the Limberg group.In terms of complications,there were two cases of incision complications in the conformal flap group(subcutaneous effusion in one patient,partial incision dehiscence in one patient),and three cases of incision complica-tions in the Limberg treatment group(subcutaneous effusion in two patients,partial incision dehiscence in one patient).Conclusion Through retrospective study,Compared with the Limberg flap,the conformal flap is suitable for treating pilonidal sinuses with wide sinus tracts and long walking distance by retaining more normal tissue and lower injury,faster wound healing and lower pain score than Limberg flaps.关键词
骶尾部藏毛窦/适形皮瓣/Limberg皮瓣转移术/Karydakis皮瓣转移术Key words
sacrococcygeal pilose sinus/conformal skin flap/limberg flap transfer/karydakis flap transfer分类
医药卫生引用本文复制引用
王谦谦,王坚衡,韩先龙,董永珍,刘民,张志刚,刘春香,刘鹏林..适形皮瓣技术治疗骶尾部藏毛窦的回顾性研究[J].岭南现代临床外科,2024,24(2):110-115,6.
