摘要
目的：探讨Limberg菱形转移皮瓣在骶尾部藏毛窦手术中的应用。方法采用Lim-berg菱形转移皮瓣技术治疗骶尾部藏毛窦患者18例。结果手术时间45～135 min，平均（86±20）min，住院时间8～26 d，平均（15．5±4．5）d。随访16例，失访2例，平均随访时间15．7个月（3～74个月），随访期内未见复发。其中3例发生术后缝合切口底端部分裂开，1例出现皮下积液，1例皮下血肿，1例出现Limberg皮瓣尖端表皮坏死，均经常规换药引流后愈合，无切口感染。结论 Limberg菱形转移皮瓣技术治疗骶尾藏毛窦，治愈率高，术后恢复快，复发率低，推荐用于复发性或者病灶范围广泛的患者。
Objective To evaluate the efficacy of Limberg rhombic flap for the management of sacrococcygeal pilonidal sinus.Method A total of 18 patients with sacrococcygeal pilonidal sinus were treated by Limberg rhomboid flap.Results The operative time ranged from 45 to 135 minutes,with an av-erage of（86 ±20 ）minutes.The postoperative hospital stay ranged from 8 to 26 days,with an average of （15.5 ±4.5）days.A total of 16 patients were followed up for 3 to 74 months,with an average of 15.7 months,and 2 cases were lost.No recurrence was observed during the follow-up period.There were 3 cases of wound dehiscence at the lower end,1 case of subcutaneous hydrops,1 case of subcutaneous hemotoma and 1 case of flap necrosis.After regular dressing change and drainage,these patients were all healed with-out wound infection.Conclusion Limberg rhombic flap has the advantages of high success rate,fast post-operative recovery and low reccurence rate in the treatment of sacrococcygeal pilonidal sinus.It is recom-mended for patients with recurrence or wide range lesions.
出处
《临床外科杂志》
2014年第9期699-700,702,共3页
Journal of Clinical Surgery
