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复发性藏毛窦:敞开引流还是皮瓣闭合,有区别吗?

Recurrent pilonidal sinus: lay open or flap closure, does it differ?

作者信息

Yoldas Tayfun, Karaca Can, Unalp Omer, Uguz Alper, Caliskan Cemil, Akgun Erhan, Korkut Mustafa

机构信息

Ege University Faculty of Medicine, General Surgery Department, Izmir, Turkiye.

出版信息

Int Surg. 2013 Oct-Dec;98(4):319-23. doi: 10.9738/INTSURG-D-13-00081.1.

DOI:10.9738/INTSURG-D-13-00081.1
PMID:24229017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3829057/
Abstract

Treatment options of pilonidal sinus, which has high recurrence rates, is still controversial. In this study, we aimed to analyze for possible factors affecting recurrence. Forty-one patients with recurrent pilonidal sinus were included in this study. Of them, 33 were male and 9 were female (mean age, 24.9 years; age range, 16-42). Factors (i.e., risk factors) were detected in 32 patients. Excision-secondary healing and lay open was performed on 30 of the patients admitted with recurrence. Excision and flap closure was applied on 11 patients. Our recurrence rate was 9.7%. The recurrence rate of our study is compatible with the literature. Comparative studies are needed to determine the appropriate method to decrease recurrence rate.

摘要

藏毛窦的治疗方案仍存在争议,其复发率很高。在本研究中,我们旨在分析可能影响复发的因素。本研究纳入了41例复发性藏毛窦患者。其中,男性33例,女性9例(平均年龄24.9岁;年龄范围16 - 42岁)。32例患者检测到相关因素(即危险因素)。30例复发入院患者接受了切除 - 二期愈合及敞开疗法。11例患者接受了切除及皮瓣闭合术。我们的复发率为9.7%。本研究的复发率与文献相符。需要进行比较研究以确定降低复发率的合适方法。

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Recurrent pilonidal sinus: lay open or flap closure, does it differ?复发性藏毛窦:敞开引流还是皮瓣闭合,有区别吗?
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Wound closure with Karydakis flap is decreasing the perioperative costs after pilonidal sinus excision as compared to lay-open approach.与开放手术相比,采用卡里达基斯皮瓣进行伤口闭合可降低藏毛窦切除术后的围手术期成本。
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本文引用的文献

1
Minimally invasive treatment of pilonidal disease: crystallized phenol and laser depilation.藏毛窦疾病的微创治疗:结晶酚与激光脱毛
Int Surg. 2012 Oct-Dec;97(4):288-92. doi: 10.9738/CC130.1.
2
Pilonidal sinus disease: risk factors for postoperative complications and recurrence.藏毛窦疾病:术后并发症及复发的危险因素
Int Surg. 2012 Jul-Sep;97(3):224-9. doi: 10.9738/CC86.1.
3
Sacrococcygeal pilonidal disease.骶尾部藏毛疾病
Int Surg. 2011 Apr-Jun;96(2):144-7. doi: 10.9738/1393.1.
4
Prospective analysis of cosmesis, morbidity, and patient satisfaction following Limberg flap for the treatment of sacrococcygeal pilonidal sinus.Limberg 皮瓣治疗骶尾部藏毛窦的美容效果、发病率和患者满意度的前瞻性分析。
Dis Colon Rectum. 2011 Apr;54(4):487-94. doi: 10.1007/DCR.0b013e3182051d96.
5
Sinus excision and primary closure versus laying open in pilonidal disease: a prospective randomized trial.窦道切除和一期缝合与切开引流术治疗藏毛窦疾病的前瞻性随机对照研究。
Dis Colon Rectum. 2011 Mar;54(3):300-5. doi: 10.1007/DCR.0b013e31820246bf.
6
Dufourmentel rhomboid flap in the radical treatment of primary and recurrent sacrococcygeal pilonidal disease.Dufourmentel 菱形皮瓣在原发性和复发性骶尾部藏毛窦病的根治性治疗中的应用。
Dis Colon Rectum. 2010 Jul;53(7):1061-8. doi: 10.1007/DCR.0b013e3181defd25.
7
A scoring system as a method to evaluate pilonidal sinus disease to make an easy decision for its management.一种评分系统作为评估藏毛窦疾病的方法,以便为其治疗做出轻松决策。
Indian J Plast Surg. 2009 Jan-Jun;42(1):43-8. doi: 10.4103/0970-0358.53011.
8
Unroofing and curettage for the treatment of acute and chronic pilonidal disease.切开术和刮除术治疗急性和慢性藏毛窦病。
World J Surg. 2010 Jan;34(1):153-7. doi: 10.1007/s00268-009-0245-6.
9
Family history of pilonidal sinus predisposes to earlier onset of disease and a 50% long-term recurrence rate.藏毛窦家族史易导致疾病更早发病,且长期复发率为50%。
Dis Colon Rectum. 2009 Sep;52(9):1610-5. doi: 10.1007/DCR.0b013e3181a87607.
10
Natal cleft deeper in patients with pilonidal sinus: implications for choice of surgical procedure.藏毛窦患者的 natal 裂更深:对手术方式选择的影响
Dis Colon Rectum. 2009 May;52(5):1000-2. doi: 10.1007/DCR.0b013e31819f6189.