Pilonidal囊肿切除术后骶尾部创伤整形新方法的疗效分析:随机试验。

E. N. Shubrov, A. G. Baryshev, K. V. Triandafilov, V. A. Aladina, V. V. Fedyushkin, R. K. Amirova
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引用次数: 0

摘要

背景尽管骶尾部毛囊肿的手术治疗方法多种多样,但由于术后并发症和复发率高,尚未开发出一种通用的技术。目标。通过开发和实施一种新的闭合骶尾部创伤缺损的方法,提高毛囊肿患者的治疗效果。方法。我们进行了一项随机试验,涉及60名骶尾部毛囊肿患者。对照组和主要组各30人。这项研究是在克拉斯诺达尔地区临床医院第一研究所的脓性外科进行的。将患者纳入试验是在2019-2022年期间组织的。每位患者的随访时间等于住院时间。对照组采用Moszkowicz(Moshkovich)改良手术治疗。主要人群采用我们自己开发的方法进行治疗。根据Clavien-Dindo分类评估术后伤口并发症。统计数据处理使用Microsoft Excel 2013和外接程序分析包以及统计数据的AtteStat进行。后果对照组和主要小组各有30名参与者。性别、年龄和体重指数(BMI)没有被定义为具有统计学意义。在分析原始数据时,对照组的治疗中位时间为10.5(9.0;13.8)天,主组为7.0(7.0;8.0)天,根据Mann-Whitney检验有显著差异(p<0.001)。对照组的术后并发症(缝合失败、伤口脓肿、皮肤坏死)有16例,对照组复发7例,结论:笔者改良手术治疗毛囊肿,可缩短住院时间,减少缝合失败、创面脓肿、皮肤坏死等术后并发症的发生。复发次数也明显减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of the Outcomes of a New Method for Plastic Surgery for Postoperative Wound Of Sacrococcygeal Region after Excision of the Pilonidal Cyst: Randomized Trial.
Background. Despite a variety of existing methods of surgical treatment for sacrococcygeal pilonidal cyst, a universal technique has not been developed yet, due to the large number of postoperative complications and recurrences.Objectives. To improve the treatment outcomes of patients with pilonidal cysts through developing and implementing a new method for closure of the postoperative wound defect of the sacrococcygeal region.Methods. We conducted a randomized trial, involving 60 patients with sacrococcygeal pilonidal cyst. The control and main groups consisted of 30 people each. The study was carried out in the Purulent Surgery Unit of the Regional Clinical Hospital No. 1 — Research Institute, Krasnodar. The inclusion of patients in the trial was organized within 2019–2022 period. The duration of each patient’s follow-up period was equal to the hospitalization duration. The control group underwent the surgical treatment in the Moszkowicz (Moshkovich) modifi cation. The main group was treated by means of our own developed method. Postoperative wound complications were assessed according to Clavien—Dindo classifi cation. Statistical data processing was performed using Microsoft Excel 2013 with the add-ins Analysis package and AtteStat for statistical data.Results. The control and main groups included 30 participants each. The gender, age and body mass index (BMI) were not defi ned as statistically signifi cant. When analyzing the primary data, the treatment median time accounted for 10.5 (9.0; 13.8) days in the control group and 7.0 (7.0; 8.0) days in the main group, a signifi cant difference according to the Mann—Whitney test (p < 0.001). The number of postoperative complications (suture failure, wound abscess, necrosis of skin fl aps) in the control group was 16 cases, and in the main group — 1 case (signifi cance of differences under the chi-squared test p < 0.001). The number of recurrences in the control group comprised 7 cases, while in the main group there was 1 case (signifi cance of differences under the chi-squared test p = 0.023).Conclusion. The application of surgical treatment for pilonidal cysts in the authors’ modifi cation made it possible to reduce the time of hospitalization, the number of such postoperative complications as suture failure, wound abscess and necrosis of skin fl aps. The number of recurrences has also decreased significantly.
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