PDF(Pubmed)
Abstract：
Background Pilonidal sinus disease (PSD) is a chronic skin condition caused by hair retention that affects the sacrococcygeal cleft. The purpose of this study is to compare the efficacy of negative pressure wound therapy (NPWT) to routine daily dressings (DDs) in wound healing after complex or infected pilonidal sinus tract excision. Materials and methods The study included 81 individuals who had extensive local excisions for pilonidal sinuses that were complex or infected. Randomly selected participants were given either NPWT or the usual dressing. Between the two groups, the length of hospitalization, the amount of time needed to resume daily activities, and the amount of time needed for full wound closure were compared. Results Forty-two patients received NPWT, while 39 patients received DDs as usual. There was no discernible difference between the two groups in terms of operating time or hospital stay. However, patients who underwent NPWT experienced a quicker final wound closure (59.24 ± 10.21 days compared to routine DD with a mean time of 75.31 ± 14.68 days, P = 0.001) and returned to normal activities earlier (17.36 versus 21.75 days in NPWT and routine DD, respectively). Conclusion Compared to patients who received standard DDs, those who were postoperatively managed with NPWT showed faster wound healing and return to normal activities. Whenever feasible, this strategy may be employed to improve patient recovery.
摘要：
背景鼻窦病（PSD）是一种由毛发滞留引起的慢性皮肤病，影响骶尾部裂隙。这项研究的目的是比较负压伤口疗法（NPWT）与常规日常敷料（DDs）在复杂或感染的藏毛窦道切除术后伤口愈合中的疗效。材料和方法该研究包括81名患有复杂或感染的毛发窦的广泛局部切除的个体。随机选择的参与者给予NPWT或常规敷料。在两组之间，住院时间,恢复日常活动所需的时间，并比较了完全闭合伤口所需的时间。结果42例患者接受NPWT,39例患者照常接受DDs。两组在手术时间或住院时间方面没有明显差异。然而,接受NPWT的患者最终伤口闭合速度更快（与常规DD相比，为59.24±10.21天，平均时间为75.31±14.68天，P=0.001），并较早恢复到正常活动（NPWT和常规DD的17.36天与21.75天，分别)。结论与接受标准DDs的患者相比，术后接受NPWT治疗的患者伤口愈合更快,恢复正常活动.只要可行，这一策略可用于改善患者康复.
