骶尾部藏毛窦77例临床分析

Clinical Analysis of 77 cases with Sacrococcygeal Pilonidal Sinus

为探讨骶尾部藏毛窦患者手术方式的选择，吲顺性分析77例骶尾部臧毛窦患者病例资料及手术方式。结果显示，行单纯切除术29例（切口开放组），切除后缝合25例（切口缝合组），切除后行皮瓣转移术23例（皮瓣转移组）。切口开放组切口愈合时间（65．34±8．71）d，复发2例。切口缝合组切口愈合时间（20．34士5．71）d，术后切口感染2例，裂开1例，复发1例。皮瓣转移组切口愈合时间（16．34±5．71）d，切口感染1例，裂开2例，皮瓣坏死1例，无复发。结果表明．皮瓣转移术和切口缝合术治疗骶尾部藏毛窦，愈合时间较短，是较好的手术方式，切口张力小时可直接缝合切口，切口张力大时采用皮瓣转移术。

In order to explore the surgical approach of patients with sacrococcygeal pilonidal sinus, this study was retrospectively analyze the data of cases and the surgical approach of 77 cases with sacrococcygeal pilonidal sinus.As results,29 cases （incision and open group） received simple resection, 25 cases （incision suture group） were sutured after resection, and 23 cases （flap transfer group） treated with flap transfer after resection. In the incision and open group, the incision healing time was （65.34 ± 8.71） d and 2 cases were relapsed. In the incision suture group, the incision healing time was （20.34 ± 5.71） d; 2 cases of incision infection, 1 case of dehiscence, l case of recurrence. In the flap transfer group, the wound healing time was （16.34 ± 5.71） d, 1 case of incision infection, 2 cases of dehiscence, 1 case of skin flap necrosis and no recurrence. In conclusion, the two methods of flap transfer and incision suture for treating sacrococcygeal pilonidal sinus have shorter healing time. It was a good surgical Way. The incision tension was small and can suture the incision directly. The flap transfer operation was advised when the incision tension was large.