两种改良菱形皮瓣转移成形术治疗骶尾部藏毛窦疗效对比

发布时间：2018-06-21 20:10

本文选题：骶尾部藏毛窦 + 皮瓣转移成形术　；参考：《重庆医科大学》2017年硕士论文

【摘要】：目的:比较两种菱形皮瓣转移成形术对于骶尾部藏毛窦术后的临床疗效。探索骶尾部藏毛窦安全有效的手术方式。方法:选取我院近3年来行改良皮瓣成形术骶尾部藏毛窦患者共39例,其中接受改良Limberg皮瓣(Limberg flap)转移成形术患者22例,行改良Dufourmentel皮瓣(Dufourmentel flap)转移成形术患者17例,对比两种术式手术时间,术后手术切口愈合情况,转移皮瓣坏死情况以及住院时间等,随访至术后半年,并对比两者术后复发情况。结果:改良Dufourmentel皮瓣组较改良Limberg皮瓣组手术时间略长,转移皮瓣坏死率改良Dufourmentel皮瓣组略高于改良Limberg皮瓣组,伤口一期愈合率改良Limberg皮瓣组低于改良Dufourmentel皮瓣组,住院时间改良Limberg皮瓣组长于改良Dufourmentel皮瓣组。改良Dufourmentel皮瓣组有1例患者出现转移皮瓣坏死,改良Limberg皮瓣组无转移皮瓣坏死记录。术后半年内随访改良Dufourmentel皮瓣组术后3个月出现手术切口处肿胀复发1例,再次接受手术治疗,改良Limberg皮瓣组术后半年内未有复发记录。两组在手术时间、转移皮瓣坏死率、术后复发方面对比无显著差异(P0.05),在伤口一期愈合及住院时间方面对比,两组结果对比存在明显差异,且具有统计学意义(P0.05)。结论:改良Limberg皮瓣转移成形术和改良Dufourmentel皮瓣转移成形术均是骶尾部藏毛窦的有效治疗手段,疗效显著,复发率低,患者舒适度高,是较为理想的手术方式。
[Abstract]:Objective: to compare the clinical effect of two kinds of rhomboid flap transfer plasty for sacrococcygeal hair sinus surgery. To explore a safe and effective surgical method for sacrococcygeal sinus. Methods: a total of 39 cases of sacrococcygeal hair sinus reconstruction were performed in our hospital in recent 3 years, including 22 cases of modified Limberg flap limberg flapplasty and 17 cases of modified Dufourmentel flap reconstruction. The time of operation, the healing of postoperative incision, the necrosis of transfer flap and the time of hospitalization were compared. The patients were followed up to six months after operation, and the recurrence was compared. Results: the operation time of the modified Dufourmentel flap group was longer than that of the modified Limberg flap group, the necrosis rate of the modified Dufourmentel flap group was slightly higher than that of the modified Limberg flap group, and the wound healing rate of the modified Dufourmentel flap group was lower than that of the modified Dufourmentel flap group. The modified Limberg flap was in the modified Dufourmentel flap group. One patient in the modified Dufourmentel flap group had necrosis of the transfer flap, while the modified Limberg flap group had no record of the necrosis of the flap. One patient in the modified Dufourmentel flap group was followed up at 3 months after operation and received surgical treatment again. No recurrence was recorded in the modified Limberg flap group within six months after operation. There was no significant difference in operation time, necrotic rate of flap transfer and postoperative recurrence between the two groups (P 0.05), but there was significant difference in primary wound healing and hospital stay between the two groups. There was significant difference in the results between the two groups, and there was statistically significant difference between the two groups (P 0.05). Conclusion: both modified Limberg flap transfer and modified Dufourmentel flap transfer are effective methods for the treatment of sacrococcygeal hair sinus. The curative effect is significant, the recurrence rate is low, and the comfort of the patients is high. It is an ideal surgical method.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R657.1

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