South West Regional Wound Care Framework Initiative, London, Ontario, Canada.
Adv Skin Wound Care. 2012 Jul;25(7):324-32; quiz 333-4. doi: 10.1097/01.ASW.0000416004.70465.8a.
Healing of pilonidal sinus wounds (PSWs) by secondary intention requires an average of 2 to 6 months, but delayed healing may require 1 to 2 years or even longer. Characteristically, these midline wounds are in the natal cleft of the buttocks or sacrococcygeal area of the back. These PSWs have costly financial consequences to the healthcare system and negatively affect the quality of life of the individual with the wound. This article contains an evidence-based literature review supplemented by the clinical expert opinion of the authors. Twelve leading mistakes in assessment and treatment have been identified with appropriate solutions to optimize patient outcomes. A case study is included to illustrate the common clinical challenges with strategies to optimize healing.
二期愈合的藏毛窦创面（PSW）平均需要 2 至 6 个月，但延迟愈合可能需要 1 至 2 年甚至更长时间。这些中线伤口通常位于臀部的会阴部或背部的尾骨尾部区域。这些 PSW 给医疗保健系统带来了昂贵的经济后果，并对患者的生活质量产生负面影响。本文包含了循证文献综述，并补充了作者的临床专家意见。已经确定了在评估和治疗中存在的 12 个主要错误，并提出了适当的解决方案以优化患者的结果。本文还包括一个病例研究，说明了常见的临床挑战以及优化愈合的策略。
