改良切开引流术治疗感染性皮脂腺囊肿的临床应用

Clinical application of modified incision and drainage in the treatment of infectious sebaceous cyst

目的探讨改良切开引流术治疗感染性皮脂腺囊肿的临床疗效。方法选取2021年1-6月在该院就诊的感染性皮脂腺囊肿患者60例,采用随机数字表法,将其分为研究组和对照组,每组30例。研究组采用改良切开引流术,对照组采用传统切开引流术,比较2组治疗后切口愈合时间、术后6个月复发情况及切口瘢痕宽度。结果研究组、对照组切口愈合时间分别为14.00(12.00,18.50)、15.00(12.75,21.25)d,二者比较,差异无统计学意义(P>0.05)。术后2、6个月,2组复发率比较,差异有统计学意义(P<0.05)。2组术后6个月切口瘢痕宽度比较,差异无统计学意义(P>0.05)。结论采用改良切开引流术治疗感染性皮脂腺囊肿疗具有较好疗效,能有效降低复发率,避免二次手术,提高患者满意度。

Objective To explore the clinical effect of modified incision and drainage in the treatment of infectious sebaceous cyst.Methods A total of 60 patients with infectious sebaceous cyst who visited the hospital from January to June 2021 were selected and randomly divided into the study group and the control group with 30 cases in each group.The study group used modified incision and drainage,while the control group used traditional incision and drainage.The incision healing time,recurrence rate at six months after surgery,and incision scar width were compared between the two groups.Results The incision healing time of the study group and the control group was 14.00(12.00,18.50)and 15.00(12.75,21.25)days,respectively,and there was no statistically significant difference between the two groups(P>0.05).At two and six months after surgery,there was statistically significant difference in recurrence rate between the two groups(P<0.05).There was no statistically significant difference in incision scar width between the two groups at six months after surgery(P>0.05).Conclusion The treatment of infectious sebaceous cyst with modified incision and drainage has a good effect,which can effectively reduce the recurrence rate,avoid secondary surgery,and improve patient satisfaction.