骶尾部藏毛窦术后复发并发骶尾骨骨髓水肿一例

doi:10.3877/cma.j.issn.2095-3224.2020.01.018

中华结直肠疾病电子杂志 ›› 2020, Vol. 09 ›› Issue (01) : 88 -91. doi: 10.3877/cma.j.issn.2095-3224.2020.01.018

所属专题：经典病例；文献；

病例报道

骶尾部藏毛窦术后复发并发骶尾骨骨髓水肿一例

王俊¹, 金黑鹰¹^,^†(

)

^1. 210017　南京，江苏省第二中医院（南京中医药大学第二附属医院）肛肠中心

收稿日期:2019-06-01 出版日期:2020-02-20
通信作者: 金黑鹰

A case report of recurrence of sacrococcygeal pilonidal sinus with sacrococcygeal bone marrow edema after operation

Jun Wang¹, Heiying Jin¹^,^†()

^1. Department of Anorectal Surgery, Jiangsu Provincial Second Chinese Medicine Hospital(The Second Affiliated Hospital of Nanjing University of Chinese Medicine), Nanjing 210017, China

Received:2019-06-01 Published:2020-02-20
Corresponding author: Heiying Jin

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探讨骶尾部藏毛窦术后复发并发骶尾骨骨髓水肿的治疗效果，术后给予抗生素及抗厌氧菌药物治疗，术后换药，骶尾部伤口于术后24天愈合，术后42天复查MR，骶尾骨骨髓水肿明显消退，随访1年，患者无不适，骶尾骨未见骨髓水肿。

关键词: 藏毛窦, 骶尾骨, 骨髓水肿

To explore the therapeutic effect of sacrococcygeal bone marrow edema after sacrococcygeal pilonidal sinus operation. After operation, patient was given antibiotics, anti anaerobic agents and surgical dressing. After 24 days, the sacrococcygeal wound healed. After 42 days, the sacrococcygeal bone marrow edema evidently subsided. Following up 1 year, no discomfort, no bone marrow edema was found.

Key words: Pilonidal Sinus, Sacrococcyx, Bone marrow edema

图1 手术前后对比。1A：术前；1B：术中创面；1C：皮瓣游离缝合；1D：术后1个月愈合

图2 术前MR。黄色箭头标记处为异常信号

图3 术后42天MR。黄色箭头标记处为异常信号

图4 术后74天MR。黄色箭头标记处为异常信号

图5 术后一年MR。骶尾骨未见明显异常信号

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A case report of recurrence of sacrococcygeal pilonidal sinus with sacrococcygeal bone marrow edema after operation

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A case report of recurrence of sacrococcygeal pilonidal sinus with sacrococcygeal bone marrow edema after operation