Yalcin Samet, Ergul Emre
Ankara Atatürk Teaching and Research Hospital, General Surgery Department, Ankara, Turkey.
Bratisl Lek Listy. 2010;111(5):284-5.
The sacrococcygeal pilonidal disease affects relatively young people, causing much nuisance and many lost working days. The ideal treatment should be simple, allowing a speedy recovery with short hospitalization while affording a permanent cure. Currently, many treatment options are available; unfortunately, none of them is ideal and each has its own recurrence rate. In this study, we wanted to emphasize the effectiveness of sinotomy in sacrococcygeal pilonidal sinus disease by single-surgeon's experience.
Single-surgeon's experience of 59 pilonidal sinus patients was reviewed at single-institute between July 2005 and December 2006. 2% Prilocaine was injected for local anesthesia and sinotomy technique was performed. All patients were discharged at postoperative second hour and were followed up for a minimum 1 year.
Median age of the 59 patients was 24 (14-56) years. Forty-six (77.96%) of them were male and 13 (22.03%) of them were female. Healing completed in 1 month and almost all the patients were able to return to work the following day. We proudly have no recurrence at our mean follow up time of 16 months (range: 12-24 months). Our complication rate was 1.69%.
Sinotomy has the advantages of simplicity, the possibility to operate under local anesthesia with excellent recurrence rate of 0% (Ref. 9). Full Text (Free, PDF) www.bmj.sk.
骶尾部藏毛窦疾病影响相对年轻的人群，造成诸多不便和许多工作日的损失。理想的治疗方法应简单易行，能使患者迅速康复、缩短住院时间并实现根治。目前有多种治疗选择；不幸的是，没有一种是理想的，每种都有其自身的复发率。在本研究中，我们想通过单一位外科医生的经验强调切开引流术治疗骶尾部藏毛窦疾病的有效性。
回顾了单一位外科医生在2005年7月至2006年12月期间于单一机构治疗的59例藏毛窦患者的经验。注射2%的丙胺卡因进行局部麻醉并实施切开引流术。所有患者术后两小时出院，并接受了至少1年的随访。
59例患者的中位年龄为24岁（14 - 56岁）。其中46例（77.96%）为男性，13例（22.03%）为女性。1个月内伤口愈合，几乎所有患者次日即可恢复工作。在平均16个月（范围：12 - 24个月）的随访时间里，我们自豪地实现了无复发。我们的并发症发生率为1.69%。
切开引流术具有操作简单的优点，可在局部麻醉下进行，复发率极低，为0%（参考文献9）。全文（免费，PDF）www.bmj.sk 。
