Catherine McAuleySchool of Nursing and Midwifery, University College Cork, Cork,Ireland.
J Wound Ostomy Continence Nurs. 2011 Jul-Aug;38(4):373-8. doi: 10.1097/WON.0b013e31821e5117.
Pilonidal disease arises from hair follicles of the gluteal cleft and may result in a chronic exudative disorder. The management of pilonidal disease following surgical excision remains controversial, despite an abundance of research into different treatment options. Negative pressure wound therapy is an emerging treatment option for complex or recurrent pilonidal disease. We performed a comprehensive literature search, using the electronic databases MEDLINE, Cochrane library, CINAHL, PubMed, and Web of Knowledge. All studies, case reports, and multiple case series evaluating the use of negative pressure wound therapy for treatment of pilonidal disease were included. Despite the breadth of our search parameters, we identified limited studies addressing this issue; all were published between 2003 and 2007. Findings of 5 case reports or multiple case series tentatively suggest that negative pressure wound therapy may be an emerging treatment option for pilonidal disease management. However, we recommend that more rigorous research, including randomized controlled trials, be conducted before implications can be drawn for evidence-based practice.
藏毛窦疾病源于臀部裂的毛囊，可能导致慢性渗出性疾病。尽管对不同治疗方案进行了大量研究，但手术切除后藏毛窦疾病的治疗仍然存在争议。负压伤口治疗是治疗复杂或复发性藏毛窦疾病的一种新兴治疗选择。我们使用电子数据库 MEDLINE、Cochrane 图书馆、CINAHL、PubMed 和 Web of Knowledge 进行了全面的文献检索。所有评估负压伤口治疗用于治疗藏毛窦疾病的使用的研究、病例报告和多个病例系列均包括在内。尽管我们的搜索参数范围很广，但我们只确定了有限的几项研究解决了这个问题；所有这些研究都发表于 2003 年至 2007 年之间。5 份病例报告或多个病例系列的研究结果初步表明，负压伤口治疗可能是治疗藏毛窦疾病的一种新兴治疗选择。然而，我们建议进行更严格的研究，包括随机对照试验，以便为循证实践得出结论。
