Sarmast Mohammad Hossein, Javaherizadeh Hazhir, Shahvari Mohammad Rahimi
Department of Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Pol Przegl Chir. 2011 Dec;83(12):652-3. doi: 10.2478/v10035-011-0104-7.
THE AIM OF THE STUDY was to evaluate result of non-surgical treatment among adolesecent and adult cases.
This study was carried out on cases with umbilical pilonidal disease who refused surgical treatment as first line treatment. Duration of study was from 2003 to 2006. If a patient due to complication required surgery, was not excluded from study. Data was analyzed by SPSS ver 13.0 (Chicago, IL, USA).
In this study, 51 cases were included. Mean ± SD in male was 23.57±6.11 (range 16-40) and female was 27.93±11.38 (range 15-60). Patients were divided in two groups. Group 1 included cases ≤ 5 yrs and consisted of 32 cases. Cases >25 yrs were placed in group 2 (19 cases). From 51 cases included in this study, 43 of them were appropriate for non-surgical treatment. Eight cases underwent surgical treatment. Of 51 cases, 35 cases (68.6%) were male and 31.4% were female. Of 43 cases who treated conservatively, 29 (67.44%) cases were male and 14 (32.56%) were female. There was no significant difference between rate of successful conservative treatment among cases >25 yrs and cases ≤ 25 yrs. There was no significant different between different duration of manifestation.
In this study we found successful non-surgical treatment in 90.6% of cases ≤ 25 yrs and 73.7% of cases >2 yrs. Non-surgical treatment may be appropriate option in uncomplicated cases. Another study is recommended to confirm this method of treatment.
本研究的目的是评估青少年和成人病例的非手术治疗效果。
本研究针对脐部藏毛窦疾病患者进行，这些患者拒绝将手术作为一线治疗方法。研究时间为2003年至2006年。若患者因并发症需要手术，不排除在研究之外。数据采用SPSS 13.0版（美国伊利诺伊州芝加哥）进行分析。
本研究纳入51例病例。男性的平均年龄±标准差为23.57±6.11（范围16 - 40岁），女性为27.93±11.38（范围15 - 60岁）。患者分为两组。第1组包括年龄≤5岁的病例，共32例。年龄>25岁的病例归入第2组（19例）。在本研究纳入的51例病例中，43例适合非手术治疗。8例接受了手术治疗。51例病例中，35例（68.6%）为男性，31.4%为女性。在43例接受保守治疗的病例中，29例（67.44%）为男性，14例（32.56%）为女性。年龄>25岁的病例与年龄≤25岁的病例在保守治疗成功率方面无显著差异。不同病程之间也无显著差异。
在本研究中，我们发现年龄≤25岁的病例中有90.6%非手术治疗成功，年龄>25岁的病例中有73.7%非手术治疗成功。非手术治疗可能是无并发症病例的合适选择。建议进行另一项研究以证实这种治疗方法。
