Klin B, Heller O N, Kaplan I
Surgical Unit, IDF Medical Corps, Zerifin, Israel.
J Clin Laser Med Surg. 1990 Feb;8(1):31-7.
During a period of 18 months, from January 1988 to June 1989, 70 patients were treated for pilonidal sinus disease in a Multi-Specialty Military Clinic. There were 62 men and 8 women, with a median age of 19 years (range 18 to 35). All were managed as outpatients under local anesthesia. When an abscess was involved, the surgical procedure included incision, drainage, curettage, peroxide irrigation, and CO2 laser therapy. For the other processes, the surgical procedure included excision of sinus tissue and lateral fistulas, curettage, peroxide irrigation, and CO2 laser therapy with secondary healing. Morbidity was minimal. Healing time ranged from 14 days to 8 weeks, yet most sinuses healed in 4 weeks. The complications observed--pain, bleeding, and skin bridging--were minor. All recurrences but three were minor and healed completely after additional local treatment (4.3 percent major recurrences). Preliminary satisfactory results are reported, supporting a more conservative approach in the treatment of this often overtreated disease.
在1988年1月至1989年6月的18个月期间，一家多专科军事诊所对70例藏毛窦疾病患者进行了治疗。其中男性62例，女性8例，年龄中位数为19岁（范围18至35岁）。所有患者均在局部麻醉下作为门诊病人进行治疗。当伴有脓肿时，手术程序包括切开、引流、刮除、用过氧化氢冲洗以及二氧化碳激光治疗。对于其他病情，手术程序包括切除窦组织和侧瘘、刮除、用过氧化氢冲洗以及二氧化碳激光治疗并二期愈合。发病率极低。愈合时间从14天到8周不等，但大多数窦在4周内愈合。观察到的并发症——疼痛、出血和皮肤桥接——均较轻微。除3例复发外，所有复发均较轻微，经额外局部治疗后完全愈合（严重复发率为4.3%）。报告了初步的满意结果，支持对这种常被过度治疗的疾病采取更保守的治疗方法。
