Emir Seyfi, Topuz Omer, Kanat Burhan Hakan, Bali Ilhan
General Surgery Department, Namık Kemal University, Faculty of Medicine, Tekirdağ, Turkey..
Bosn J Basic Med Sci. 2014 Nov 12;14(4):263-7. doi: 10.17305/bjbms.2014.139.
Pilonidal disease is a common chronic disorder mainly seen in the sacrococcygeal region, especially in young males. Many surgical treatment modalities have been suggested, but an ideal and widely accepted treatment has yet to be established. The aim of this study was to compare quality of life of patients treated with the sinotomy technique with quality of life of patients treated with surgical excision plus primary closure technique by means of quality of life questionnaire. The data of patients who had been treated for pilonidal sinus in our clinic from September 2010 to June 2012 were analyzed retrospectively. Forty patients were treated with sinotomy technique and 40 patients were treated with surgical excision plus primary closure technique. Time to return to work and to time to complete wound healing were evaluated. All patients were asked to fill the questionnaire after complete healing occurred. Postoperative complications were bleeding in 2.5%, infection in 3.75% and fever in 2.5% patients. There were no significant differences between the two groups in terms of complete healing (p=0.1) and sport times (p=0.1). There were significant differences between the groups in terms of length of hospital stay (p ≤ 0.001), time off work (p ≤ 0.001),times to sitting on toilet and walking without pain (p=0.002 and p ≤ 0.001,respectively). The mean postoperative VAS scores were 5.2 ± 3.2 and 2.8 ± 2.2, respectively (p=0.02). The technique of sinotomy with good wound and surrounding skin care seems to be an ideal approach with high chance of cure. The patients returned to their routine in a short period of time.
藏毛窦疾病是一种常见的慢性疾病，主要见于骶尾部，尤其是年轻男性。已经提出了许多外科治疗方法，但尚未建立理想且被广泛接受的治疗方法。本研究的目的是通过生活质量问卷比较采用鼻窦切开术治疗的患者与采用手术切除加一期缝合技术治疗的患者的生活质量。回顾性分析了2010年9月至2012年6月在我院接受藏毛窦治疗的患者的数据。40例患者采用鼻窦切开术治疗，40例患者采用手术切除加一期缝合技术治疗。评估恢复工作时间和伤口完全愈合时间。所有患者在伤口完全愈合后被要求填写问卷。术后并发症包括2.5%的患者出血、3.75%的患者感染和2.5%的患者发热。两组在完全愈合（p = 0.1）和运动时间（p = 0.1）方面无显著差异。两组在住院时间（p≤0.001）、休假时间（p≤0.001）、无痛坐马桶时间和无痛行走时间（分别为p = 0.002和p≤0.001）方面存在显著差异。术后平均视觉模拟评分分别为5.2±3.2和2.8±2.2（p = 0.02）。鼻窦切开术结合良好的伤口和周围皮肤护理技术似乎是一种理想的方法，治愈率高。患者在短时间内恢复了日常生活。
