毛鞘疾病的外科治疗

中华普通外科杂志 Pub Date : 2020-01-25 DOI:10.3760/CMA.J.ISSN.1007-631X.2020.01.013

Bao Yuan, Jing Yang, Hong Gu, Jiong Ma, J. Miao, Wanjin Shao, Yunfei Gu, Chaoqun Ma

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引用次数: 0

摘要

目的探讨毛鞘疾病的外科治疗方法。方法回顾性分析2007年7月至2014年2月收治的33例毛鞘病患者的临床资料。切除+有袋化18例，菱形切除+ Limberg皮瓣15例。结果本组18例患者均经手术治愈。菱形切除+ Limberg皮瓣组15例均治愈，其中5例出现延迟愈合的裂裂或坏死，均经敷料引流后愈合。Limberg皮瓣组的平均愈合时间短于有袋化组[(19±7)d比(37±12)d, t=6.556, P < 0.05]。结论毛鞘病变的切除带袋化及菱形切除+ Limberg皮瓣是治疗毛鞘病变的有效方法，对于复杂和复发的病例，建议采用Limberg皮瓣转移。关键词:毛线虫病;外科手术

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Surgical treatment of pilonidal disease

Objective To study the surgical treatment of the pilonidal disease. Methods The clinical data of 33 cases of the pilonidal disease were retrospectively analyzed from Jul 2007 to Feb 2014. 18 cases were treated with Excision and Marsupialization, and 15 cases were treated with Rhomboid excision and Limberg flap. Results All 18 cases in the excision and marsupialization group, were cured by surgery.all 15 cases in the rhomboid excision and Limberg flap group were cured, five of these cases were delayed healing dehiscence or necrosis, all this cases were healed after dressing drainage.The average healing time of the Limberg flap group was shorter than that of the Marsupialization group[(19±7) d vs. (37±12) d, t=6.556, P 0.05). Conclusion The excision and marsupialization and the rhomboid excision and Limberg flap are effective in the treatment of the pilonidal disease, and the Limberg flap transfer is recommended in complicated and recurrence cases. Key words: Pilonidal disease; Surgical procedures, operative

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中华普通外科杂志

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