Baier P K, Baumgartner U, Furtwängler A, Holzinger F, Schöffel U
Abteilung Allgemein- und Viszeralchirurgie, Chirurgische Universitätsklinik Freiburg, Germany.
Zentralbl Chir. 2002 Apr;127(4):310-4. doi: 10.1055/s-2002-31557.
The postoperative follow up of 177 operations in 162 patients with pilonidal sinus was investigated. After excision of the sinus a primary wound closure was performed in 80 cases; in 83 cases the wound was left open. After primary wound closure 40 % of the patients showed a primary healing of the wound. Although the remaining 60 % of the wounds healed secondarily the patients were not disabled longer and did not demonstrate more frequently recurrences than those with open wound management. As a consequence we recommend a primary wound closure after excision of a pilonidal sinus.
对162例藏毛窦患者的177次手术进行了术后随访。在切除窦道后，80例患者进行了一期伤口缝合；83例患者伤口敞开。一期伤口缝合后，40%的患者伤口一期愈合。尽管其余60%的伤口二期愈合，但这些患者的残疾时间并不更长，复发频率也不比伤口敞开处理的患者更高。因此，我们建议在切除藏毛窦后进行一期伤口缝合。
