Odili Joy, Gault David
RAFT Institute of Plastic Surgery, Mount Vernon Hospital, Northwood, UK.
Ann R Coll Surg Engl. 2002 Jan;84(1):29-32.
Pilonidal disease is common. Excessive hair growth in the natal cleft is thought to be a factor in initiating these sinuses. It is chronic and intermittent in nature and treatment can be difficult. Hair removal by shaving or use of creams is often advised as a compliment to surgical treatments. However, access to the natal cleft can be difficult. Laser removal of hair in the natal cleft is considered as an aid to healing the pilonidal sinus.
Over a 5-year period, 14 patients with recurrent pilonidal disease were treated in our unit with laser depilation. They were all contacted by postal questionnaire, and those with ongoing disease were asked to return to the clinic for evaluation and possible further treatment.
All patients returned the postal questionnaire. Of the 14 patients, 4 had on-going disease and received further depilation with the Alexandrite laser. All are now healed with no reported complications. All patients found the procedure painful and received local anaesthetic.
Laser depilation in the natal cleft is by no means a cure for pilonidal disease. Removal of hair by this method represents an alternative and effective method of hair removal and, although long lasting, is only temporary. However, it allows the sinuses to heal rapidly. It is relatively safe, and simple to teach, with few complications. It should thus be considered as an aid to healing the problem pilonidal sinus.
藏毛窦疾病很常见。人们认为臀裂处毛发过度生长是引发这些窦道的一个因素。其本质上是慢性且间歇性的，治疗可能很困难。通常建议刮毛或使用脱毛膏作为手术治疗的辅助手段。然而，触及臀裂可能很困难。在臀裂处用激光脱毛被认为有助于藏毛窦的愈合。
在5年期间，我们科室对14例复发性藏毛窦疾病患者进行了激光脱毛治疗。通过邮寄问卷与他们全部取得联系，对于仍患有疾病的患者，要求他们返回诊所进行评估及可能的进一步治疗。
所有患者都回复了邮寄问卷。14例患者中，4例仍患有疾病，接受了翠绿宝石激光的进一步脱毛治疗。目前所有患者均已愈合，无并发症报告。所有患者都觉得该操作很疼，并接受了局部麻醉。
在臀裂处进行激光脱毛绝不是藏毛窦疾病的治愈方法。通过这种方法去除毛发是一种替代且有效的脱毛方法，虽然效果持久，但只是暂时的。然而，它能使窦道迅速愈合。它相对安全，易于操作，并发症少。因此，应将其视为有助于治愈问题藏毛窦的一种方法。
