Aksakal A Burhan, Adişen Esra
Department of Dermatology, Faculty of Medicine, Gazi University, Ankara, Turkey.
Dermatol Surg. 2008 Feb;34(2):228-31. doi: 10.1111/j.1524-4725.2007.34042.x. Epub 2007 Dec 17.
Hidradenitis suppurativa is a challenging condition, both for the physicians and for the patients. Many surgical and medical approaches with different success rates have been undertaken. Early and appropriate intervention is a factor that significantly increases the success rate of the treatment of the disease.
This study was conducted to evaluate the efficiency of electrosurgery treatment in early hidradenitis suppurativa.
This study comprised 12 patients aged between 29 and 38 years (mean, 34 years) with a diagnosis of hidradenitis suppurativa Grade I (n=9) or Grade II (n=3). A surgical method consisted of excision of the areas with nodules and sinuses, up to the level of subcutaneous fat tissue, and leaving the surgical defect for secondary healing.
All patients completed the study. In 10 of 12 (83%) patients, 26 of 30 (86%) lesions, cure was observed in a mean of 16 days (range 15 to 21 days). Four lesions in 2 patients with Grade II became infected and required a short course of antibiotic therapy.
Electrosurgery will decrease the need for other systemic treatments, owing to its high cure rates. Our results showed that electrosurgery should be considered a top alternative in the treatment algorithm of hidradenitis suppurativa.
化脓性汗腺炎对医生和患者来说都是一种具有挑战性的病症。人们已经采取了许多成功率各异的手术和药物治疗方法。早期且恰当的干预是显著提高该疾病治疗成功率的一个因素。
本研究旨在评估电外科治疗早期化脓性汗腺炎的疗效。
本研究纳入了12例年龄在29至38岁之间（平均34岁）的患者，其中9例诊断为Ⅰ级化脓性汗腺炎，3例为Ⅱ级。手术方法包括切除有结节和窦道的区域，直至皮下脂肪组织层面，手术创口留待二期愈合。
所有患者均完成了研究。12例患者中的10例（83%），30处病灶中的26处（86%），平均在16天（范围15至21天）内观察到治愈。2例Ⅱ级患者的4处病灶发生感染，需要短期抗生素治疗。
由于电外科的治愈率高，它将减少对其他全身治疗的需求。我们的结果表明，在化脓性汗腺炎的治疗方案中，电外科应被视为首选的替代方法。
