Department of Surgery, Faculty of Medicine, University of Medical Sciences of Tabriz, Iran.
Department of Surgery, Faculty of Medicine, University of Medical Sciences of Tabriz, Iran.
Int J Surg. 2018 Feb;50:6-10. doi: 10.1016/j.ijsu.2017.12.018. Epub 2017 Dec 25.
Hidradenitis suppurativa (HS) is a chronic inflammatory disease presenting as painful subcutaneous nodules, characterized by multiple abscess, inter-networking sinus tracts. We present the option of surgical treatment involving wide surgical excision and methods of reconstruction as well as the rate of recurrence.
This study reviewed 44 sites in 21 patients with moderate to extensive HS treated surgically in our hospital from 2000 to 2016, with a follow up of at least 24 months.
A total number of 44 operative procedures were performed during the study period with 13.6% (6 sites) involving axilla, 38.6% (17 sites) involving the gluteal area, 29.5% (13 sites) involving the perineal and perianal area and 11.4% (5 sites) involving the inguinal region, 4.5% (2 sites) involving the scrotal area, and 1.3% (one case) retrorectal abscess.
Conservative treatment methods have little or no effects especially on gluteal, perineal/perianal and axillary hidradenitis suppurativa. The morbidity associated with the established disease is significant, and the only successful treatment is wide surgical excision.
化脓性汗腺炎（HS）是一种慢性炎症性疾病，表现为疼痛的皮下结节，其特征为多发性脓肿、相互交织的窦道。我们提出了广泛手术切除和重建方法的手术治疗选择，以及复发率。
本研究回顾了 2000 年至 2016 年期间在我院接受手术治疗的 21 例中至重度 HS 患者的 44 个部位，随访时间至少 24 个月。
研究期间共进行了 44 次手术，其中腋部占 13.6%（6 个部位），臀部占 38.6%（17 个部位），会阴部和肛周占 29.5%（13 个部位），腹股沟区占 11.4%（5 个部位），阴囊区占 4.5%（2 个部位），直肠后脓肿占 1.3%（1 例）。
保守治疗方法效果甚微，尤其是对臀部、会阴部/肛周和腋窝部的化脓性汗腺炎。该疾病的发病率较高，唯一有效的治疗方法是广泛手术切除。
