巴西和阿根廷关于藏毛窦手术微创治疗的多中心研究。
BRAZILIAN AND ARGENTINEAN MULTICENTRIC STUDY IN THE SURGICAL MINIMALLY INVASIVE TREATMENT OF PILONIDAL CYST.
作者信息
Mendes Carlos Ramon Silveira, Ferreira Luciano Santana de Miranda, Salim Leonardo
机构信息
Department of Coloproctology, Santa Izabel Hospital, Salvador, BA, Brazil.
Parque Clinic, Coloproctologia Rosario, Rosario, Argentina.
出版信息
Arq Bras Cir Dig. 2019 Oct 21;32(3):e1447. doi: 10.1590/0102-672020190001e1447. eCollection 2019.
BACKGROUND
The pilonidal cyst is an infection of the skin and the subcutaneous tissue, secondary to a chronic inflammation with a greater frequency in the sacrococcygeal region, and associated to the presence of hair. The treatment is eminently surgical.
AIM
To demonstrate the endoscopic treatment of pilonidal cyst.
METHOD
Prospective study with 67 patients who had as surgical indication the diagnosis of pilonidal cyst. They were submitted to a surgical procedure from June 2014 to March 2018. The equipment used was the Meinero fistuloscope, a shutter, a monopolar electrode, a brush and endoscopic forceps.
RESULTS
Of the 67 patients, 67% (n=45) were male and 33% (n=22) female, with a mean age of 25 years (17-45). Surgical time in average was 40 min (20-120) and mean healing time of four weeks (3-12). Surgical complications were presented in 7% cases (n=5) and recurrences in 9% (n=6).
CONCLUSION
The endoscopic treatment of the pilonidal cyst is feasible and presents good surgical results.
背景
藏毛窦是皮肤和皮下组织的一种感染，继发于慢性炎症，在骶尾区域更为常见，且与毛发的存在有关。治疗主要是手术治疗。
目的
展示藏毛窦的内镜治疗。
方法
对67例诊断为藏毛窦且有手术指征的患者进行前瞻性研究。他们在2014年6月至2018年3月期间接受了手术治疗。使用的设备是Meinero瘘管镜、快门、单极电极、刷子和内镜钳。
结果
67例患者中，67%（n = 45）为男性，33%（n = 22）为女性，平均年龄25岁（17 - 45岁）。平均手术时间为40分钟（20 - 120分钟），平均愈合时间为四周（3 - 12周）。7%的病例（n = 5）出现手术并发症，9%（n = 6）出现复发。
结论
藏毛窦的内镜治疗是可行的，且手术效果良好。
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