外科治疗骶尾部藏毛窦68例#br#

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Abstract Objective: To summarize the methods of diagnosis and treatment for sacrococcygeal pilonidal sinus. Methods: The processes of diagnosis and treatment for 68 patients with sacrococcygeal pilonidal sinus were analyzed retrospectively. They were divided into the sinus resection and primary suture group, and the sinus resection and incision open group. The difference of two groups was observed in gender, age, body mass index (BMI), the cyst size, the sinus length, the distance from the anal verge cyst, the number of external ports, the number of previous surgery, the surgical wound size, the wound healing time and the postoperative complications. Results: The primary suture group of 30 patients included 26 males and 4 females. The incision open group of 38 patients included 31 males and 7 females. The average BMI (BMI) was 25.02 kg/ m2 in total. The wound healing time of the primary suture group was 14~29 d. The other group was 16~67 d. One case of the primary suture group developed wound infection, the incidence of infection was 3.33%; the other group, 2 patients had wound infection, the incidence was 5.26%. The difference in gender, age, the sick time, the distance from the anal margin, the number of external ports and previous sinus surgery had no significant in two groups (P>0.05); while the differences in the cyst size, the sinus length, the surgical wound size and the wound healing time were statistically significant (P<0.05). Conclusion: The incision and primary suture is the ideal surgery. Because it has many advantages, such as faster recovery, less pain, shorter wound healing and so on. But for those larger cyst, sinus longer and larger wound, the sinus resection and incision open is more secure.

Key words： sacrococcygeal pilonidal disease pilonidal sinus treatment incision processing

Received: 02 April 2014

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	FAN Hengwei1
	XU Lubai1
	ZHOU Bin1
	WANG Jisheng1
	WU Weijun1
	CHEN Yiming1
	CHEN Rong2
	LIU Changbao2
	ZHENG Chenguo2.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2014/V44/I12/909

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