Adana Seyhan State Hospital, Adana, Turkey.
Sözen Surgery Clinic, İstanbul, Turkey.
Lasers Med Sci. 2021 Jul;36(5):1015-1021. doi: 10.1007/s10103-020-03137-5. Epub 2020 Aug 29.
The aim of this study was to evaluate the effects of application of platelet-rich plasma in addition to laser pilonidoplasty for the treatment of pilonidal sinus. Twenty-five patients who were treated by laser pilonidoplasty for pilonidal sinus (group 1) and 25 patients who were treated by platelet-rich plasma in addition to laser pilonidoplasty (group 2) at this clinic were included in the study. Patients were classified according to the Irkorucu and Adana Numune's classification and treatment concept. Duration of stay of the patients in the hospital, time to start daily activities, duration of wound healing, recurrence, and complications were evaluated. Among the 50 patients included in the study, 41 (%82) were males and 9 (%18) were females. The mean age was 25.6 ± 2.4 years and 24.8 ± 3.8 years in groups 1 and 2, respectively. The locations of the pilonidal sinus were similar in the two groups. No statistically significant differences were found in the duration of hospital stay, duration of the procedure, time to return to work, and complication rates between the two groups. Nevertheless, duration of wound healing was 6.1 ± 2.3 and 4.1 ± 0.9 weeks in groups 1 and 2, respectively, and was shorter in group 2. Duration of wound healing was statistically significantly different in the two groups. We concluded in this study that application of platelet-rich plasma in addition to laser pilonidoplasty significantly shortens the time of wound healing.
本研究旨在评估在激光切开术治疗藏毛窦的基础上应用富血小板血浆（PRP）的效果。该诊所共纳入 25 例接受激光切开术治疗藏毛窦的患者（第 1 组）和 25 例接受激光切开术联合 PRP 治疗的患者（第 2 组）。患者根据 Irkorucu 和 Adana Numune 的分类和治疗概念进行分类。评估患者的住院时间、开始日常活动的时间、伤口愈合时间、复发率和并发症。在纳入的 50 例患者中，男性 41 例（82%），女性 9 例（18%）。第 1 组和第 2 组患者的平均年龄分别为 25.6±2.4 岁和 24.8±3.8 岁。两组患者的藏毛窦位置相似。两组患者的住院时间、手术时间、重返工作时间和并发症发生率无统计学差异。然而，第 1 组和第 2 组的伤口愈合时间分别为 6.1±2.3 周和 4.1±0.9 周，第 2 组的伤口愈合时间更短。两组之间的伤口愈合时间存在显著差异。本研究得出结论，在激光切开术治疗藏毛窦的基础上应用富血小板血浆可以显著缩短伤口愈合时间。
