Muller X M, Rothenbühler J M, Frede K E
Département de chirurgie, Hôpital cantonal universitaire, Bâle.
Helv Chir Acta. 1992 May;58(6):889-92.
69 patients with a chronic inflamed pilonidal sinus were reviewed. They were operated either with a deep excision to sacrum (37 patients) or with the Lord Millar technique (32 patients). 66 patients (87%) were controlled at a mean follow-up of 3.7 years after the operation. The socio-economical advantage of the Lord Millar operation is demonstrated by the shorter hospital stay (4.9 vs 7.6 days) and the shorter period of disability (14 vs 26 days). 5 recurrent episodes were observed among the 31 patients followed-up after an excision (16%) and 7 among the 29 followed-up after a Lord Millar operation (24%). In the later group one recurrence was seen in the sub-group of the 16 patients regularly epilated after the operation (6%) and 6 in the sub-group of the 13 who were not controlled (46%). We conclude that the Lord Millar operation is an alternative to the deep excision operation provided the patients is motivated enough to come regularly to the control for an epilation.
对69例慢性发炎的藏毛窦患者进行了回顾性研究。他们分别接受了骶骨深部切除术（37例）或Lord Millar技术手术（32例）。66例患者（87%）在术后平均3.7年的随访中病情得到控制。Lord Millar手术在社会经济方面的优势体现在住院时间较短（4.9天对7.6天）和残疾期较短（14天对26天）。在31例接受切除术的随访患者中有5例复发（16%），在29例接受Lord Millar手术的随访患者中有7例复发（24%）。在后一组中，术后定期脱毛的16例患者亚组中有1例复发（6%），未得到控制的13例患者亚组中有6例复发（46%）。我们得出结论，只要患者有足够的积极性定期前来接受脱毛检查，Lord Millar手术是深部切除手术的一种替代方法。
