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首页> 外文期刊>Advances in Surgical Sciences >Modified Bascom Cleft Lift Procedure for Management of Sacrococcygeal Pilonidal Sinus Disease: A Prospective Study
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Modified Bascom Cleft Lift Procedure for Management of Sacrococcygeal Pilonidal Sinus Disease: A Prospective Study

机译：改良的Bascom left裂移位术治疗cro球菌性鼻窦疾病的前瞻性研究

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Background: Many options are available for treatment sacrococcygeal pilonidal sinus disease either surgical or medical, but surgery is preferred. There are many techniques for surgical treatment but there is controversy about the best technique. Until now there is no single procedure is superior in all aspects. The aim of this study was to evaluate modified Bascom Clift lift procedure in management of. Patients and methods: From April 2014 to July 2018, 150 patients with pilonidal sinus were treated with Clift lift procedure and followed. Data collected tabulated and analyzed included complications, recurrence, post-operative hospital stay, days-off work, postoperative aesthetic appearance and patient's satisfactions. Results: There were 150 patients, 129 male and 21 females with M:F ratio. Their ages ranges from 16 to 45 year, with mean age 22.55± 8.5 year. Fifteen patients (10%) had previous operation for pilonidal sinus (recurrent). After operation all patient were mobilized at first day, mean postoperative pain VAS score were about 2(1-3) and discharged from hospital at 2nd day and were returned to daily activities after mean 7 day (6-12 days), return to work at mean (12.5) days with good healing within 10 days, postoperative wound infection had occurred only in three patients (2%). Patients satisfaction score were very good. No recurrence was observed during follow up period. Conclusion: Modified Bascom natal cleft lift is associated with good outcome, it is simple procedure and easy to learn, with early mobilization, short hospital stay early return to daily activities and work, and good patients satisfaction and to somewhat accepted post-operative scar. More studies with larger group of patients are needed especially in recurrent cases to come to consensus.
机译：背景：许多方法可通过手术或药物治疗sa球菌性绒毛窦疾病，但首选手术治疗。手术治疗的技术很多，但是关于最佳技术存在争议。到目前为止，还没有任何一种方法在所有方面都具有优越性。本研究的目的是评估改良的Bascom Clift举升程序的管理。患者和方法：2014年4月至2018年7月，对150例pilonidal窦患者进行了Clift抬升手术，并进行了随访。汇总并分析的数据包括并发症，复发率，术后住院天数，休假时间，术后美学外观和患者满意度。结果：M：F比值150例，男129例，女21例。他们的年龄从16岁到45岁不等，平均年龄为22.55±8.5岁。 15名患者（10％）曾接受过绒毛窦手术（复发）。术后所有患者均于第一天动员，术后平均疼痛VAS评分约为2（1-3），第二天出院，平均7天（6-12天）后恢复日常活动，恢复工作平均（12.5）天，在10天内能良好愈合，只有3例（2％）发生了术后伤口感染。患者满意度得分非常好。随访期间未观察到复发。结论：改良的Bascom新生儿c裂提升术具有良好的预后，操作简单，易于学习，动员早，住院时间短，能早日恢复日常活动和工作，良好的患者满意度和术后可接受的疤痕。需要对更多患者进行更多研究，尤其是在复发病例中，才能达成共识。

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