Hegele A, Strombach F J, Schönbach F
Chirurgische Abteilung, Diakoniekrankenhaus, Marburg-Wehrda.
Chirurg. 2003 Aug;74(8):749-52. doi: 10.1007/s00104-003-0657-z.
Infected sinus pilonidalis is common in young patients, causing much discomfort. Up to now, many different therapy options have been described. The aim of this study was to evaluate the longterm results for infected pilonidal sinus disease after primary drainage of the abscess, secondary rhomboid excision, and Limberg flap procedure.
38 patients (5 female, 33 male, mean age 27,mean BMI 26.7 kg/m(2)) suffering from infected pilonidal sinus were first treated by incision of the abscess. After control of the inflammation (8-14 days), radical excision of the pilonidal sinus and defect closure by the Limberg flap procedure were performed.
Two patients (5.2%) developed seroma and two (5.2%) developed infected hematoma. During follow-up, one patient (2.6%) showed recurrence. In 33 (87%), postoperative course and follow-up were uneventful (mean 23 months, range 1-36). The mean length of hospital stay was 3.2 days (range 1-4).
In infected sinus pilonidalis disease, primary drainage of the abscess by incision, secondary radical rhomboid excision, and the Limberg flap procedure to close the defect can be recommended as a good therapeutic option due to its low complication rate, acceptable long-term results, and simple operative technique.
感染性藏毛窦在年轻患者中很常见，会引起诸多不适。到目前为止，已经描述了许多不同的治疗方法。本研究的目的是评估脓肿一期引流、二期菱形切除和Limberg皮瓣手术后感染性藏毛窦疾病的长期疗效。
38例（5例女性，33例男性，平均年龄27岁，平均体重指数26.7kg/m²）感染性藏毛窦患者首先接受脓肿切开治疗。炎症得到控制后（8 - 14天），进行藏毛窦根治性切除并用Limberg皮瓣手术闭合缺损。
2例患者（5.2%）出现血清肿，2例（5.2%）出现感染性血肿。随访期间，1例患者（2.6%）复发。33例（87%）患者术后病程及随访情况良好（平均23个月，范围1 - 36个月）。平均住院时间为3.2天（范围1 - 4天）。
在感染性藏毛窦疾病中，脓肿一期切开引流、二期根治性菱形切除以及用Limberg皮瓣手术闭合缺损，因其并发症发生率低、长期疗效可接受且手术技术简单，可作为一种良好的治疗选择推荐。
