戴阳 陆文洪 李帅军

[摘要] 目的 探讨负压封闭引流术（VSD）联合康复新液对骶尾部藏毛窦术后患者创面愈合的影响。 方法 选取2019年6月至2020年12月间湖南中医院大学第二附属医院肛肠科住院部收治的骶尾部藏毛窦患者40例，将其按就诊顺序分为治疗组及对照组，每组各20例，治疗组使用负压封闭引流术联合康复新液封闭换药，对照組采用传统方式开放换药，观察两组患者的创面愈合时间、全程换药所需时间及瘢痕长度。 结果 治疗组的创面愈合时间为（49.70±3.44）d，少于对照组的（62.60±3.28）d;治疗组的全程换药所需时间为（71.40±5.07）min，少于对照组的（274.75±11.77）min;治疗组的瘢痕长度为（4.38±0.45）cm，小于对照组的（6.21±0.48）cm，差异均有统计学意义（P<0.05）。 结论 负压封闭引流术联合康复新液封闭换药能促进骶尾部藏毛窦术后患者创面的愈合。

[关键词] 负压封闭引流术;康复新液;藏毛窦;创面愈合

[中图分类号] R751          [文献标识码] A          [文章编号] 1673-9701（2021）36-0025-04

Impact of vacuum sealing drainage combined with Kangfuxin liquid on wound healing in patients after sacrococcygeal pilonidal sinus surgery

DAI Yang1   LU Wenhong2   LI Shuaijun2

1.Graduate School， Hunan University of Chinese Medicine， Changsha   410208， China; 2.Second Department of Anorectum， the Second Affiliated Hospital of Hunan University of Chinese Medicine， Changsha   410005， China

[Abstract] Objective To explore the impact of vacuum sealing drainage combined with Kangfuxin liquid on wound healing in patients after sacrococcygeal pilonidal sinus surgery. Methods A total of 40 patients with sacrococcygeal pilonidal sinus admitted to the inpatient department of the anorectal in the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine from June 2019 to December 2020 were selected and divided into two groups （20 cases each in the treatment group and the control group） according to order number. In the treatment group， vacuum sealing drainage combined with Kangfuxin liquid was used to change dressings sealedly. In the control group， the traditional method was used to change dressings openly. The wound healing time， time required to the whole dressing change， and scar length in both groups were observed. Results The wound healing time of （49.70±3.44） d was less in the treatment group than that of （62.60±3.28）d in the control group; the time required to the whole dressing change of （71.40±5.07） min was less in the treatment group than that of （274.75±11.77） min in the control group; the scar length of （4.38±0.45） cm was less in the treatment group than that of （6.21±0.48） cm in the control group. And all the differences were statistically significant（P<0.05）. Conclusion Vacuum sealing drainage combined with Kangfuxin liquid for sealed dressing change can promote wound healing in patients after sacrococcygeal pilonidal sinus surgery.

[Key words] Vacuum sealing drainage; Kangfuxin liquid; Pilonidal sinus; Wound healing

骶尾部藏毛窦是指位于骶尾部的慢性窦道或皮内囊肿，因其腔内含有毛发，故称为藏毛窦。该病以肛门坠胀、疼痛、破溃流脓为主要临床表现，以局部红、肿、热、痛为急性发作的特点，多能自动破溃流出脓性液体或经过外科手术引流后炎症消退，但多数引流口不能完全闭合，而是反复流脓形成瘘管或窦道。该病发病高峰在青春期后20～30岁年龄段，男性较女性发病率高。藏毛窦的病因病机尚未明确，中医认为藏毛窦的发生与患者的饮食、形体有关。患者平素嗜食肥甘辛辣之品，形体肥胖、湿热内生，久而化毒，湿毒相合，下注魄门，或尾部局部残留异物兼有邪毒侵袭，导致局部气血凝滞，蕴蒸化脓，故而形成藏毛窦，导致肛门肿痛或破溃。……