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骶尾部藏毛窦疾病的处理。

Management of sacrococcygeal pilonidal sinus disease.

机构信息

Department of General Surgery, University Hospital of Wales, Cardiff, UK.

Wound Healing Research Unit, Cardiff University, Cardiff, UK.

出版信息

Int Wound J. 2019 Apr;16(2):370-378. doi: 10.1111/iwj.13042. Epub 2018 Nov 15.

DOI:10.1111/iwj.13042
PMID:30440104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7949345/
Abstract

The ideal treatment for patients who suffer from pilonidal sinus disease should lead to a cure with a rapid recovery period allowing a return to normal daily activities, with a low level of associated morbidity. A variety of different surgical techniques have been described for the primary treatment of pilonidal sinus disease and current practice remains variable and contentious. Whilst some management options have improved outcomes for some patients, the complications of surgery, particularly related to wound healing, often remain worse than the primary disease. This clinical review aims to provide an update on the management options to guide clinicians involved in the care of patients who suffer from sacrococcygeal pilonidal sinus disease.

摘要

对于患有藏毛窦疾病的患者,理想的治疗方法应能治愈疾病,同时恢复期短,能快速恢复正常日常活动,且相关发病率低。目前已经有多种不同的手术技术被用于藏毛窦疾病的初次治疗,且目前的治疗实践仍然存在差异和争议。虽然一些治疗方法改善了部分患者的预后,但手术相关并发症,尤其是与伤口愈合相关的并发症,往往比原发性疾病更严重。本临床综述旨在提供关于管理选择的最新信息,以指导参与治疗骶尾部藏毛窦疾病患者的临床医生。

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本文引用的文献

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Karydakis flap reconstruction versus Limberg flap transposition for pilonidal sinus disease: a meta-analysis of randomized controlled trials.卡瑞达基斯皮瓣重建术与林伯格皮瓣转移术治疗藏毛窦疾病的比较:一项随机对照试验的Meta分析
Langenbecks Arch Surg. 2018 Aug;403(5):547-554. doi: 10.1007/s00423-018-1697-7. Epub 2018 Jul 31.
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Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series.儿童内镜下藏毛窦治疗的初步报告:多中心系列研究结果
Pediatr Surg Int. 2018 Jun;34(6):687-692. doi: 10.1007/s00383-018-4262-0. Epub 2018 Apr 19.
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Endoscopic pilonidal sinus treatment: a systematic review and meta-analysis.内镜下治疗藏毛窦:系统评价和荟萃分析。
Surg Endosc. 2018 Sep;32(9):3754-3762. doi: 10.1007/s00464-018-6157-5. Epub 2018 Mar 30.
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Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence.常见的手术治疗藏毛窦疾病:荟萃分析、合并数据分析和复发的综合研究。
Sci Rep. 2018 Feb 15;8(1):3058. doi: 10.1038/s41598-018-20143-4.
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Nonoperative management of pilonidal sinus disease: one more step toward the ideal management therapy-a randomized controlled trial.藏毛窦疾病的非手术治疗:迈向理想治疗方法的又一步——一项随机对照试验
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