Brieler H S
Evangelisches Krankenhaus Bethesda, Hamburg.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:497-500.
During the past 11 years (1985-1996), 324 patients with pilonidal sinus were treated. In 272 cases primary wound closure was performed, in contrast to 52 cases with secondary wound healing. One hundred and fourteen patients were additionally treated with an antibiotic carrier (group 1), 158 were not (group 2). In group 1 primary healing occurred in only 66% of cases vs 69% in group 2. We found wound complications with a lag time of 4 days in comparison with group 2. Serious wound secretion persisted longer in group 1, resulting in a longer hospital stay of 6.5 days on average. We conclude that the application of antibiotic carriers does not raise the rate of primary wound healing. Better results can be achieved by secondary wound healing appropriate treatment with hydrocolloidal moist wound dressings.
在过去11年（1985 - 1996年）里，对324例藏毛窦患者进行了治疗。其中272例行一期伤口缝合，52例行二期伤口愈合。114例患者额外接受了抗生素载体治疗（第1组），158例未接受（第2组）。第1组仅66%的病例实现一期愈合，而第2组为69%。我们发现与第2组相比，伤口并发症延迟出现4天。第1组严重伤口分泌物持续时间更长，导致平均住院时间延长6.5天。我们得出结论，应用抗生素载体并不能提高一期伤口愈合率。通过使用水胶体湿性伤口敷料进行二期伤口愈合的适当治疗可取得更好的效果。
