两种手术方法治疗骶尾部藏毛窦 43例的临床分析

目的:评价切开引流囊壁搔刮术与切除袋形缝合术治疗骶尾部藏毛窦的疗效。方法:回顾性分析43例骶尾部藏毛窦患者的临床资料,其中行切开引流囊壁搔刮术治疗(切口开放搔刮组)20例,行切除袋形缝合术治疗(切除袋形缝合组)23例。结果:切口开放搔刮组、切除袋形缝合组的手术时间分别为(30.40±5.22)min、(43.49±7.45)min,住院时间分别为(7.70±1.42)d、(8.17±1.47)d,愈合时间分别为(34.45±7.72)d、(24.48±5.96)d,术后疼痛NRS评分分别为(4.15±1.09)、(4.74±0.96)。两组手术时间、切口愈合时间的差异具有统计学意义(P<0.05),住院时间、术后疼痛的差异无统计学意义(P>0.05)。随访1~6年,两组均无复发。结论:彻底切除病变组织是治愈骶尾部藏毛窦的关键,急性感染期选择切开引流囊壁搔刮术、慢性窦道期选择切除袋形缝合术均可治愈骶尾部藏毛窦。

Clinical Analysis of 43 Cases with Sacrococcygeal Pilonidal Sinus Cured by Two Methods of Surgical Procedures

Objective To evaluate the clinical efficacy of sacrococcygeal pilonidal sinus by the methods between incision and drainage plus curettage and surgical excision plus marsupialization.Methods The clinical data of 43 patients with sacrococcygeal pilonidal sinus cured were analyzed retrospectively,with 20 cases underwent incision and drainage plus curettage(incision open plus curettage group),and 23 underwent surgical excision plus marsupialization(excision plus marsupialization group).Results Comparing the two methods,the operation time was(30.40±5.22)min vs(43.49±7.45)min,the hospital stay was(7.70±1.42)d vs(8.17±1.47)d,the healing time was(34.45±7.72)d vs(24.48±5.96)d,and the NRS scores of postoperative was(4.15±1.09)vs(4.74±0.96).The difference between operation and healing time was statistically significant(P<0.05),while the hospital stay and NRS score of postoperative were not statistically significant(P>0.05).There was no recurrence in both groups by the following 1-6 years.Conclusions Complete excision of the lesion is the key to cure the sacrococcygeal pilonidal sinus.The sacrococcygeal pilonidal sinus could be cured by choosing incision and drainage sac wall curettage in acute infection period and sacrococcygeal sac suture in chronic sinus period.