Wang Chen, Yao Yibo, Cao Yongqing
Department of Anorectal Surgery, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, No. 725 South Wanping Road, Shanghai 200032, China.
Case Rep Surg. 2014;2014:425497. doi: 10.1155/2014/425497. Epub 2014 Mar 4.
Complex and recurrent pilonidal sinuses are best treated with surgery. Different surgical modalities as complete excision of the pilonidal sinus leave the wound open or procedures like closing the wound with or without reconstructive flap are widely used. The open procedure is radical but may cause broad excision and prolonged morbidity, while risk of infection and rate of recurrence are higher in the closed techniques. Traditional Chinese surgical treatments are less invasive and more effective; they have been used to treat sinus and fistula disease successfully. In this case report, we have described a male adolescent with complex pilonidal sinus, who received traditional Chinese surgical treatment combined with modern wound healing technique. He recovered completely with short hospitalization, good tolerance, less pain, and scarring. Therefore, we recommend using this integrative method to treat complex pilonidal sinus disease.
复杂复发性藏毛窦最好通过手术治疗。不同的手术方式，如完全切除藏毛窦后让伤口敞开，或采用带或不带重建皮瓣的伤口闭合手术，都被广泛应用。开放手术根治性强，但可能导致广泛切除和较长的发病期，而闭合技术的感染风险和复发率更高。中医手术治疗创伤小、效果好；已成功用于治疗窦道和瘘管疾病。在本病例报告中，我们描述了一名患有复杂藏毛窦的男性青少年，他接受了中医手术治疗并结合现代伤口愈合技术。他康复完全，住院时间短，耐受性好，疼痛轻，瘢痕小。因此，我们建议使用这种综合方法治疗复杂藏毛窦疾病。
