改良Limberg皮瓣术与一期缝合治疗藏毛窦疾病的比较研究

Modified Limberg's flap versus primary closure for treatment of pilonidal sinus disease: a comparative study.

作者信息

Shabbir Faisal, Ayyaz Mahmood, Farooka Muhammad Waris, Toor Asad Ali, Sarwar Hassan, Malik Awais Amjad

出版信息

J Pak Med Assoc. 2014 Nov;64(11):1270-3.

Abstract

OBJECTIVES

To compare the outcome of Rhomboid excision and Modified Limberg's flap closure with excision and primary closure for the treatment of Sacrococcygeal Pilonidal sinus.

METHODS

The study was conducted at the Surgical Department of Mayo Hospital, Lahore, from 2009 to 2012. A total of 60 patients of pilonidal sinus were randomly divided into two equal groups. The patients were operated under general anaesthesia in prone position by Rhomboid excision and Modified Limberg's flap closure with a closed suction drain in group 1, and excision and primary closure over a drain in group 2. Patients were followed up for 12 months for surgical complications of the treatment. SPSS 17 was used for statistical analysis.

RESULTS

In group 1 there were 27(90%) males and 3(10%) females, while group 2 had 28(93.3%) males and 2(6.7%) females. The infection rates were observed to be 2(7%) in group 1 and 8(26.6%) (p<0.038) in group 2. The recurrence rate was only 1(3.3%) in group 1 compared to 4(13.3%) in group 2. Average hospital stay was 1.63±0.67 days group 1 and 2.8±1.24 days in group 2.

CONCLUSION

Modified Limberg's flap closure is an effective treatment modality for pilonidal sinus disease with 1.5 times less infection rate, 4 times less recurrence rate and 40% in-hospital time.

摘要

目的

比较菱形切除术联合改良Limberg皮瓣闭合术与切除术联合一期缝合术治疗骶尾部藏毛窦的效果。

方法

该研究于2009年至2012年在拉合尔梅奥医院外科进行。总共60例藏毛窦患者被随机分为两组，每组30例。第1组患者在全身麻醉下俯卧位接受菱形切除术联合改良Limberg皮瓣闭合术，并留置闭式引流；第2组患者接受切除术联合一期缝合，并留置引流管。对患者进行12个月的随访，观察治疗后的手术并发症。采用SPSS 17进行统计分析。

结果

第1组有27例（90%）男性和3例（10%）女性，第2组有28例（93.3%）男性和2例（6.7%）女性。第1组的感染率为2例（7%），第2组为8例（26.6%）（p<0.038）。第1组的复发率仅为1例（3.3%），而第2组为4例（13.3%）。第1组的平均住院时间为1.63±0.67天，第2组为2.8±1.24天。