临床外科杂志
臨床外科雜誌
림상외과잡지
JOURNAL OF CLINICAL SURGERY
2014年
9期
699-700,702
,共3页
邵万金%侯孝涛%孙桂东%陈玉根%葛冉
邵萬金%侯孝濤%孫桂東%陳玉根%葛冉
소만금%후효도%손계동%진옥근%갈염
骶尾部藏毛窦%Limberg菱形皮瓣
骶尾部藏毛竇%Limberg蔆形皮瓣
저미부장모두%Limberg릉형피판
sacrococcygeal pilonidal sinus%Limberg rhombic flap
目的:探讨Limberg菱形转移皮瓣在骶尾部藏毛窦手术中的应用。方法采用Lim-berg菱形转移皮瓣技术治疗骶尾部藏毛窦患者18例。结果手术时间45~135 min,平均(86±20)min,住院时间8~26 d,平均(15.5±4.5)d。随访16例,失访2例,平均随访时间15.7个月(3~74个月),随访期内未见复发。其中3例发生术后缝合切口底端部分裂开,1例出现皮下积液,1例皮下血肿,1例出现Limberg皮瓣尖端表皮坏死,均经常规换药引流后愈合,无切口感染。结论 Limberg菱形转移皮瓣技术治疗骶尾藏毛窦,治愈率高,术后恢复快,复发率低,推荐用于复发性或者病灶范围广泛的患者。
目的:探討Limberg蔆形轉移皮瓣在骶尾部藏毛竇手術中的應用。方法採用Lim-berg蔆形轉移皮瓣技術治療骶尾部藏毛竇患者18例。結果手術時間45~135 min,平均(86±20)min,住院時間8~26 d,平均(15.5±4.5)d。隨訪16例,失訪2例,平均隨訪時間15.7箇月(3~74箇月),隨訪期內未見複髮。其中3例髮生術後縫閤切口底耑部分裂開,1例齣現皮下積液,1例皮下血腫,1例齣現Limberg皮瓣尖耑錶皮壞死,均經常規換藥引流後愈閤,無切口感染。結論 Limberg蔆形轉移皮瓣技術治療骶尾藏毛竇,治愈率高,術後恢複快,複髮率低,推薦用于複髮性或者病竈範圍廣汎的患者。
목적:탐토Limberg릉형전이피판재저미부장모두수술중적응용。방법채용Lim-berg릉형전이피판기술치료저미부장모두환자18례。결과수술시간45~135 min,평균(86±20)min,주원시간8~26 d,평균(15.5±4.5)d。수방16례,실방2례,평균수방시간15.7개월(3~74개월),수방기내미견복발。기중3례발생술후봉합절구저단부분렬개,1례출현피하적액,1례피하혈종,1례출현Limberg피판첨단표피배사,균경상규환약인류후유합,무절구감염。결론 Limberg릉형전이피판기술치료저미장모두,치유솔고,술후회복쾌,복발솔저,추천용우복발성혹자병조범위엄범적환자。
Objective To evaluate the efficacy of Limberg rhombic flap for the management of sacrococcygeal pilonidal sinus.Method A total of 18 patients with sacrococcygeal pilonidal sinus were treated by Limberg rhomboid flap.Results The operative time ranged from 45 to 135 minutes,with an av-erage of(86 ±20 )minutes.The postoperative hospital stay ranged from 8 to 26 days,with an average of (15.5 ±4.5)days.A total of 16 patients were followed up for 3 to 74 months,with an average of 15.7 months,and 2 cases were lost.No recurrence was observed during the follow-up period.There were 3 cases of wound dehiscence at the lower end,1 case of subcutaneous hydrops,1 case of subcutaneous hemotoma and 1 case of flap necrosis.After regular dressing change and drainage,these patients were all healed with-out wound infection.Conclusion Limberg rhombic flap has the advantages of high success rate,fast post-operative recovery and low reccurence rate in the treatment of sacrococcygeal pilonidal sinus.It is recom-mended for patients with recurrence or wide range lesions.