Toccaceli Stefano, Persico Stella Luigi, Diana Massimo, Dandolo Rossella, Negro Paolo
II Surgical Clinic, La Sapienza University, Rome.
Chir Ital. 2008 May-Jun;60(3):433-8.
From 1985 to 2004, 229 patients (171 M, 58 F) aged from 16 to 35 years, affected by pilonidal sinus were treated by complete excision of the sinus and primary closure. Primary healing was achieved in 208 patients (91%) in an average time of 11.9 days. Secondary healing was achieved in 21 patients (9%) in 16-19 days. The mean postoperative hospital stay was 1.9 days and the average time off work 16 days. Recurrent pilonidal sinus was observed in 10 patients with a mean follow-up of 18 months (range: 12-24). On the basis of their experience, the authors conclude that complete excision of the pilonidal sinus with primary closure yields good results in terms of healing, morbidity, early return to work and recurrence rate and can be considered the treatment of choice for pilonidal sinus.
1985年至2004年期间，对229例年龄在16至35岁之间、患有藏毛窦的患者（171例男性，58例女性）进行了窦道完全切除及一期缝合治疗。208例患者（91%）实现一期愈合，平均时间为11.9天。21例患者（9%）在16至19天内实现二期愈合。术后平均住院时间为1.9天，平均误工时间为16天。10例患者观察到复发性藏毛窦，平均随访18个月（范围：12至24个月）。基于他们的经验，作者得出结论，藏毛窦完全切除并一期缝合在愈合、发病率、早期恢复工作和复发率方面产生良好效果，可被视为藏毛窦的首选治疗方法。
