改良Limberg皮瓣转移结合负压封闭引流治疗骶尾部藏毛窦的临床价值

Modified Limberg Flap Transplantation Combined with Vacuum Assisted Closure in the Treatment of Sacro- coccygeal Pilonidal Sinus：Evaluation on Clinical Value

为探讨改良Limberg皮瓣转移结合负压封闭引流（VAC）治疗骶尾部藏毛窦的临床价值，回顾采用改良Limberg皮瓣转移结合VAc或一期缝合、减张缝合、敞开引流治疗的37例骶尾部藏毛窦患者资料，就换药次数、材料消耗、住院时间及术后恢复工作时间进行对比分析。结果显示，改良Limberg皮瓣转移结合VAC治疗的患者在换药次数、住院时间及术后恢复工作时间方面均明显优于其他3种术式，P〈O．05；在材料消耗方面，与一期缝合者比较无明显差异，P〉0．05，但明显优于减张缝合、敞开引流治疗者，P〈O．05。结果表明，改良Limberg皮瓣转移结合VAC治疗骶尾部藏毛窦优于一期缝合、减张缝合、敞开引流治疗，值得临床推广应用。

In order to explore the clinical value of modified Limberg flap transplantation combined with vacuum assisted closure（VAC） for sacrococcygeal pilonidal sinus,authors retrospectively analyzed the data of 37 patients who had been subjected to above combined surgery,or to primary suture,or to relaxation su- ture, or to open drainage in author＇s center, compared and analyzed their times for dressing change, material consumption, hospitalization time, and the time to return to work. As results, in material consumption the combined surgery had no significant difference compared with primary suture （ P 0.05）, but distinctly superior to relaxation suture,open drainage（ P d0.05）;in another 3 items the combined surgery was all significantly superior to other 3 procedures（ P d0.05）. It is concluded that for sacrococcygeal pilonidal si- nus the cobmined surgery is superior to other 3 procedures,thus worthy to be popularized clinically.