Venus M R, Titley O G
University Hospitals Birmingham NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2012 Jan;94(1):12-6. doi: 10.1308/003588412x13171221499748.
The ideal treatment for pilonidal sinus disease has yet to be defined. There are many approaches described in the literature.
Thirty-five consecutive patients who underwent wide excision of pilonidal sinus disease had the wound repaired using a parasacral perforator flap. Outcomes were assessed by case notes analysis and follow-up telephone and postal questionnaires.
There were ten minor complications including six minor wound edge dehiscences. There were two ischaemic complications, with one flap loss. There were 3 recurrences of pilonidal disease at a mean follow-up of 33 months, giving a 5-year recurrence free rate of 86%. Of the patients questioned, all would recommend the procedure to someone else despite 69% being dissatisfied with the cosmetic outcome.
This series indicates that the parasacral perforator flap technique is able to repair pilonidal sinus excision wounds successfully with minimal morbidity and a low recurrence rate at a mean of follow-up of 33 months. The study suggests that it may be a technique best reserved for recurrent cases of pilonidal sinus disease. Patients feel the procedure is successful despite reservations regarding the cosmetic outcome.
藏毛窦疾病的理想治疗方法尚未明确。文献中描述了多种治疗方法。
35例连续接受藏毛窦疾病广泛切除的患者，其伤口采用骶旁穿支皮瓣修复。通过病例记录分析以及随访电话和邮寄问卷对结果进行评估。
出现10例轻微并发症，其中包括6例轻微伤口边缘裂开。有2例缺血性并发症，1例皮瓣坏死。在平均33个月的随访中，藏毛疾病复发3例，5年无复发率为86%。在接受询问的患者中，尽管69%的患者对美容效果不满意，但所有患者都表示会向他人推荐该手术。
本系列研究表明，骶旁穿支皮瓣技术能够成功修复藏毛窦切除术后的伤口，发病率最低，平均33个月的随访中复发率低。该研究表明，这可能是一种最适合藏毛窦疾病复发病例的技术。尽管患者对美容效果有所保留，但他们认为该手术是成功的。
