Almajid Feras M, Alabdrabalnabi Abdullah A, Almulhim Khalifa Abdulaziz
Department of Surgery, King Fahd Hospital of the University, University of Dammam, Alkhobar, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2017 Jan;38(1):70-74. doi: 10.15537/smj.2017.1.15892.
To estimate the rate of the Pilonidal disease (PND) recurrence and to evaluate the associated predictors of the recurrence. Methods: This is a retrospective study, conducted at King Fahd Hospital of the University in Alkhobar, Kingdom of Saudi Arabia over a period of 10 years from January 2003 until December 2013. Results: A study of 366 with PND, 19 of those were identified as secondary cases and excluded. Most involved 347 patients were Saudi (82.1%), single (87%), and men (93.1%). The mean age of the sample was 23 ± 8 years, and the mean body mass index (BMI) was 29.7 ± 6 Kg/m2. Overall recurrence rate after the surgical management was found in 25 patients (7.2%). By logistic regression to the recurrence group, young age group, prolong sitting and BMI may increase the likelihood of the disease recurrence. Conclusion: Pilonidal disease still has challenges in its management. Treatment should depend on the extent and severity of the disease. The recurrence rate in this study is approximately 7.2%. The most predominate factors associated with recurrence were prolong sitting job, young age group, and high BMI.
评估藏毛疾病（PND）的复发率，并评估复发的相关预测因素。方法：这是一项回顾性研究，于2003年1月至2013年12月在沙特阿拉伯王国胡拜尔法赫德国王大学医院进行，为期10年。结果：对366例PND患者进行研究，其中19例被确定为继发性病例并被排除。大多数纳入研究的347例患者为沙特人（82.1%）、单身（87%）、男性（93.1%）。样本的平均年龄为23±8岁，平均体重指数（BMI）为29.7±6kg/m²。手术治疗后的总体复发率为25例（7.2%）。通过逻辑回归分析复发组发现，年轻年龄组、长时间久坐和BMI可能增加疾病复发的可能性。结论：藏毛疾病的治疗仍面临挑战。治疗应取决于疾病的范围和严重程度。本研究中的复发率约为7.2%。与复发相关的最主要因素是长时间久坐工作、年轻年龄组和高BMI。
