Al-Naami Mohammed Y
Department of Surgery, King Khalid University Hospital, PO Box 7805 (37), Riyadh 11472, Kingdom of Saudi Arabia.
Saudi Med J. 2005 Feb;26(2):285-8.
To describe an improved method for treating pilonidal sinus disease.
An outpatient procedure involves laying the pilonidal sinus tract open under local anesthesia, removal of hair and debris, curettage of granulation tissue, with subsequent daily dressing, weekly shaving, and let it heal by secondary intention. The medical records of 100 patients underwent this procedure were studied regarding complications, healing time, and recurrence. This study was carried out at King Abdul-Aziz Medical City, Riyadh, Kingdom of Saudi Arabia, between January 2000 and December 2003.
Ninety-five patients (95%) were males and 5 patients (5%) were females. The mean age was 21.7 years. Almost all patients who underwent the procedure were discharged after the procedure. Complications included 2 cases (2%) of bleeding, one case (1%) of vasovagal attack requiring admission overnight, 10 cases (10%) of delayed healing, and 2 cases (2%) of recurrence after an average of one year from complete wound healing. Ninety patients (90%) had completed healing after one month of daily dressing and 10 patients (10%) after 2 months.
Outpatient pilonidal sinotomy with good wound and surrounding skin care is an ideal approach with high chance of cure.
描述一种改良的藏毛窦疾病治疗方法。
一种门诊手术，包括在局部麻醉下切开藏毛窦道，清除毛发和碎屑，刮除肉芽组织，随后每日换药、每周剃毛，让伤口通过二期愈合。研究了100例行此手术患者的病历，内容包括并发症、愈合时间和复发情况。本研究于2000年1月至2003年12月在沙特阿拉伯王国利雅得的阿卜杜勒-阿齐兹国王医疗城进行。
95例（95%）为男性，5例（5%）为女性。平均年龄为21.7岁。几乎所有接受该手术的患者术后均出院。并发症包括2例（2%）出血、1例（1%）血管迷走神经发作需住院过夜、10例（10%）愈合延迟以及2例（2%）在伤口完全愈合平均一年后复发。90例（90%）患者在每日换药1个月后完全愈合，10例（10%）在2个月后完全愈合。
门诊藏毛窦切开术并做好伤口及周围皮肤护理是一种治愈几率高的理想方法。
