本文選題：骶尾部藏毛竇 + 皮瓣轉(zhuǎn)移成形術(shù)��； 參考：《重慶醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:比較兩種菱形皮瓣轉(zhuǎn)移成形術(shù)對于骶尾部藏毛竇術(shù)后的臨床療效。探索骶尾部藏毛竇安全有效的手術(shù)方式。方法:選取我院近3年來行改良皮瓣成形術(shù)骶尾部藏毛竇患者共39例,其中接受改良Limberg皮瓣(Limberg flap)轉(zhuǎn)移成形術(shù)患者22例,行改良Dufourmentel皮瓣(Dufourmentel flap)轉(zhuǎn)移成形術(shù)患者17例,對比兩種術(shù)式手術(shù)時間,術(shù)后手術(shù)切口愈合情況,轉(zhuǎn)移皮瓣壞死情況以及住院時間等,隨訪至術(shù)后半年,并對比兩者術(shù)后復(fù)發(fā)情況。結(jié)果:改良Dufourmentel皮瓣組較改良Limberg皮瓣組手術(shù)時間略長,轉(zhuǎn)移皮瓣壞死率改良Dufourmentel皮瓣組略高于改良Limberg皮瓣組,傷口一期愈合率改良Limberg皮瓣組低于改良Dufourmentel皮瓣組,住院時間改良Limberg皮瓣組長于改良Dufourmentel皮瓣組。改良Dufourmentel皮瓣組有1例患者出現(xiàn)轉(zhuǎn)移皮瓣壞死,改良Limberg皮瓣組無轉(zhuǎn)移皮瓣壞死記錄。術(shù)后半年內(nèi)隨訪改良Dufourmentel皮瓣組術(shù)后3個月出現(xiàn)手術(shù)切口處腫脹復(fù)發(fā)1例,再次接受手術(shù)治療,改良Limberg皮瓣組術(shù)后半年內(nèi)未有復(fù)發(fā)記錄。兩組在手術(shù)時間、轉(zhuǎn)移皮瓣壞死率、術(shù)后復(fù)發(fā)方面對比無顯著差異(P0.05),在傷口一期愈合及住院時間方面對比,兩組結(jié)果對比存在明顯差異,且具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:改良Limberg皮瓣轉(zhuǎn)移成形術(shù)和改良Dufourmentel皮瓣轉(zhuǎn)移成形術(shù)均是骶尾部藏毛竇的有效治療手段,療效顯著,復(fù)發(fā)率低,患者舒適度高,是較為理想的手術(shù)方式。
[Abstract]:Objective: to compare the clinical effect of two kinds of rhomboid flap transfer plasty for sacrococcygeal hair sinus surgery. To explore a safe and effective surgical method for sacrococcygeal sinus. Methods: a total of 39 cases of sacrococcygeal hair sinus reconstruction were performed in our hospital in recent 3 years, including 22 cases of modified Limberg flap limberg flapplasty and 17 cases of modified Dufourmentel flap reconstruction. The time of operation, the healing of postoperative incision, the necrosis of transfer flap and the time of hospitalization were compared. The patients were followed up to six months after operation, and the recurrence was compared. Results: the operation time of the modified Dufourmentel flap group was longer than that of the modified Limberg flap group, the necrosis rate of the modified Dufourmentel flap group was slightly higher than that of the modified Limberg flap group, and the wound healing rate of the modified Dufourmentel flap group was lower than that of the modified Dufourmentel flap group. The modified Limberg flap was in the modified Dufourmentel flap group. One patient in the modified Dufourmentel flap group had necrosis of the transfer flap, while the modified Limberg flap group had no record of the necrosis of the flap. One patient in the modified Dufourmentel flap group was followed up at 3 months after operation and received surgical treatment again. No recurrence was recorded in the modified Limberg flap group within six months after operation. There was no significant difference in operation time, necrotic rate of flap transfer and postoperative recurrence between the two groups (P 0.05), but there was significant difference in primary wound healing and hospital stay between the two groups. There was significant difference in the results between the two groups, and there was statistically significant difference between the two groups (P 0.05). Conclusion: both modified Limberg flap transfer and modified Dufourmentel flap transfer are effective methods for the treatment of sacrococcygeal hair sinus. The curative effect is significant, the recurrence rate is low, and the comfort of the patients is high. It is an ideal surgical method.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R657.1

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相關(guān)期刊論文 前10條

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本文編號：2049864