激光脱毛对骶尾部藏毛疾病患者复发率及满意度的影响：一项前瞻性随机对照试验
The effect of laser epilation on recurrence and satisfaction in patients with sacrococcygeal pilonidal disease: a prospective randomized controlled trial.
作者信息
Demircan Firat, Akbulut Sami, Yavuz Ridvan, Agtas Huseyin, Karabulut Koray, Yagmur Yusuf
机构信息
Department of Surgery, Diyarbakir Education and Research Hospital Diyarbakir 21400, Turkey.
Department of Surgery, Firat University Faculty of Medicine Elazig, Turkey.
出版信息
Int J Clin Exp Med. 2015 Feb 15;8(2):2929-33. eCollection 2015.
BACKGROUND
The primary aim of this prospective study was to investigate the effects of laser epilation on patient satisfaction and recurrence in patients who underwent pilonidal sinus surgery.
METHOD
Sixty patients scheduled for pilonidal sinus surgery in our clinic between 2011 and 2012 were enrolled in this prospective randomized controlled study. Patients were divided in two groups of 30 patients each. Only the Karydakis flap reconstruction technique was performed in the first group. Two sessions of laser epilation were applied in the second group in addition to Karydakis flap reconstruction. The patients in the second group underwent laser epilation 2 weeks before and 3 weeks after the surgery for a total of 2 times in a private office.
RESULTS
There were no statistically significant differences between the groups in terms of age, gender, smoking usage, ASA Score, duration of patient's complaints, BMI and hospital stay. There were no statistically significant differences between the groups in terms of surgical site infection, wound separation, abscess formation at the any time postoperatively. There were statistically significant differences between the two groups in the first week post operation considering the VAS pain score (P<0.03) and VAS satisfaction score (P<0.01). While there were statistically significant differences between the two groups in the first month post operation considering the VAS pain score (P<0.0001), there were no statistically significant differences between the groups in terms of VAS satisfaction score in the first and three month postoperatively. In the telephone interviews done 1 year after the surgery, recurrence were detected in 4% of first group and in 20% of second group. Recurrence rates were significantly higher in the second group (P=0.045).
CONCLUSION
Our results show that laser epilation does not reduce the relapse rates in pilonidal sinus surgery, as expected. It is obvious that prospective randomized studies need to be held on this subject.
背景
本前瞻性研究的主要目的是调查激光脱毛对接受藏毛窦手术患者的满意度和复发情况的影响。
方法
2011年至2012年期间在我们诊所计划进行藏毛窦手术的60例患者被纳入这项前瞻性随机对照研究。患者被分为两组，每组30例。第一组仅采用Karydakis皮瓣重建技术。第二组除Karydakis皮瓣重建外，还进行了两次激光脱毛。第二组患者在私人诊所于手术前2周和手术后3周各接受一次激光脱毛，共2次。
结果
两组在年龄、性别、吸烟习惯、美国麻醉医师协会（ASA）评分、患者主诉持续时间、体重指数（BMI）和住院时间方面无统计学显著差异。两组在术后任何时间的手术部位感染、伤口裂开、脓肿形成方面无统计学显著差异。术后第一周，两组在视觉模拟评分法（VAS）疼痛评分（P<0.03）和VAS满意度评分（P<0.01）方面存在统计学显著差异。术后第一个月，两组在VAS疼痛评分方面存在统计学显著差异（P<0.0001），但在术后第一个月和第三个月的VAS满意度评分方面，两组无统计学显著差异。在术后1年进行的电话随访中，第一组复发率为4%，第二组为20%。第二组的复发率显著更高（P=0.045）。
结论
我们的结果表明，激光脱毛并未如预期那样降低藏毛窦手术的复发率。显然，需要针对该主题进行前瞻性随机研究。
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