PDF(Pubmed)
Abstract：
UNASSIGNED: The most important step in treating a pilonidal sinus is eradication by surgical excision. Over the years, various surgical techniques have been reported for wound closure, yet their management still poses a challenge. The current study compares the results of two different methods of wound management: secondary wound healing versus the Z-plasty surgical technique.
UNASSIGNED: The current clinical trial recruited 84 uncomplicated pilonidal sinus patients who were to undergo complete surgical excision of the pilonidal sinus. For wound healing, the 84 subjects were equally divided into two groups of 42 patients each. One group was selected for Z-plasty surgical wound closure and the other for the secondary healing mechanism. Outcomes measured consisted of demographic data, length of operation, complications, severity of pain, number of dressings, recurrence, and complete healing time.
UNASSIGNED: Age or sex distribution and the median BMI (kg/m²) did not significantly differ between the two groups. The length of the operation for Z-plasty subjects was significantly longer (P <0.0001). The median number of dressing changes for secondary wound healing patients was 38.69, which was significantly higher than the 4.95 dressing changes for the Z-plasty group. The total time recorded for complete wound healing was 21.61±4.27 days in the Z-plasty group and 41.23±24.28 days for secondary wound healing subjects, which was statistically significant. Twenty-four hours postoperation, patients in the secondary wound healing group had significantly more pain, and the Visual Analogue Scale scores of the Z-plasty and secondary wound healing groups were 3.42±0.76 and 6.09±1.2, respectively. Concerning the recurrence rate, there were no significant differences between the two groups. SPSS version 22 performed the analyses, and the independent t-test compared the continuous variables. A P value less than 0.05 was considered statistically significant.
UNASSIGNED: Z-plasty is a safe and effective procedure in terms of wound complications and recurrence rate. This method is also cost-effective and better received by patients.
UNASSIGNED: The current clinical trial recruited 84 uncomplicated pilonidal sinus patients who were to undergo complete surgical excision of the pilonidal sinus. For wound healing, the 84 subjects were equally divided into two groups of 42 patients each. One group was selected for Z-plasty surgical wound closure and the other for the secondary healing mechanism. Outcomes measured consisted of demographic data, length of operation, complications, severity of pain, number of dressings, recurrence, and complete healing time.
UNASSIGNED: Age or sex distribution and the median BMI (kg/m²) did not significantly differ between the two groups. The length of the operation for Z-plasty subjects was significantly longer (P <0.0001). The median number of dressing changes for secondary wound healing patients was 38.69, which was significantly higher than the 4.95 dressing changes for the Z-plasty group. The total time recorded for complete wound healing was 21.61±4.27 days in the Z-plasty group and 41.23±24.28 days for secondary wound healing subjects, which was statistically significant. Twenty-four hours postoperation, patients in the secondary wound healing group had significantly more pain, and the Visual Analogue Scale scores of the Z-plasty and secondary wound healing groups were 3.42±0.76 and 6.09±1.2, respectively. Concerning the recurrence rate, there were no significant differences between the two groups. SPSS version 22 performed the analyses, and the independent t-test compared the continuous variables. A P value less than 0.05 was considered statistically significant.
UNASSIGNED: Z-plasty is a safe and effective procedure in terms of wound complications and recurrence rate. This method is also cost-effective and better received by patients.
摘要：
■治疗藏毛窦最重要的步骤是通过手术切除根除。多年来,已经报道了各种手术技术用于伤口闭合，然而，他们的管理仍然面临挑战。本研究比较了两种不同的伤口处理方法的结果：二次伤口愈合与Z成形术手术技术。
■当前的临床试验招募了84名简单的藏毛窦患者，他们将接受完整的藏毛窦手术切除。为了伤口愈合，84名受试者被平均分为两组，每组42名患者。一组被选择用于Z成形术手术伤口闭合，另一组被选择用于二级愈合机制。测量的结果包括人口统计数据，操作长度,并发症,疼痛的严重程度，敷料的数量，复发,完整的愈合时间。
■两组之间的年龄或性别分布以及BMI中位数（kg/m²）没有显着差异。Z-成形术受试者的手术时间明显更长(P<0.0001)。二次伤口愈合患者换药次数的中位数为38.69，明显高于Z-成形术组的4.95次换药次数。Z-成形术组记录的伤口完全愈合的总时间为21.61±4.27天,二次伤口愈合组记录的总时间为41.23±24.28天,具有统计学意义。术后24小时,二次伤口愈合组的患者疼痛明显增多，Z-成形术组和二次伤口愈合组的视觉模拟评分分别为3.42±0.76和6.09±1.2。关于复发率，两组间无显著差异。SPSS版本22进行了分析，独立t检验比较了连续变量。P值小于0.05被认为具有统计学意义。
■Z成形术在伤口并发症和复发率方面是安全有效的程序。这种方法也是具有成本效益的，并且被患者更好地接受。
■当前的临床试验招募了84名简单的藏毛窦患者，他们将接受完整的藏毛窦手术切除。为了伤口愈合，84名受试者被平均分为两组，每组42名患者。一组被选择用于Z成形术手术伤口闭合，另一组被选择用于二级愈合机制。测量的结果包括人口统计数据，操作长度,并发症,疼痛的严重程度，敷料的数量，复发,完整的愈合时间。
■两组之间的年龄或性别分布以及BMI中位数（kg/m²）没有显着差异。Z-成形术受试者的手术时间明显更长(P<0.0001)。二次伤口愈合患者换药次数的中位数为38.69，明显高于Z-成形术组的4.95次换药次数。Z-成形术组记录的伤口完全愈合的总时间为21.61±4.27天,二次伤口愈合组记录的总时间为41.23±24.28天,具有统计学意义。术后24小时,二次伤口愈合组的患者疼痛明显增多，Z-成形术组和二次伤口愈合组的视觉模拟评分分别为3.42±0.76和6.09±1.2。关于复发率，两组间无显著差异。SPSS版本22进行了分析，独立t检验比较了连续变量。P值小于0.05被认为具有统计学意义。
■Z成形术在伤口并发症和复发率方面是安全有效的程序。这种方法也是具有成本效益的，并且被患者更好地接受。
