Jemec G B
Clinic for Plastic Reconstructive Surgery, Rigshospitalet, Copenhagen, Denmark.
J Am Acad Dermatol. 1988 May;18(5 Pt 1):1103-7. doi: 10.1016/s0190-9622(88)70113-9.
A study is made of the effect of surgical treatment of hidradenitis suppurative in 72 patients. All patients were treated with wide surgical excisions of localized lesions and primary closure in an outpatient setting. An overall complete cure rate of 14.7% was achieved. Another 7.4% experienced cure in the region treated, but subsequent recurrence in another region. Cure does not seem to be associated with the localization of the disease or preoperative duration, but the group of patients who were cured were significantly older at the onset of the disease (p less than 0.001) than the group with recurrent disease. Patient satisfaction with excisional surgery was high, with 68% reporting surgery to be superior to other types of treatment experienced and only 6% considering it worse. It is hypothesized that the rapid relief, even if offered temporarily, in an otherwise chronic disease is the cause of this high patient satisfaction.
对72例化脓性汗腺炎患者的手术治疗效果进行了研究。所有患者均在门诊进行局部病变的广泛手术切除并一期缝合。总体完全治愈率为14.7%。另外7.4%的患者在治疗区域实现了治愈,但随后在另一区域复发。治愈似乎与疾病的部位或术前病程无关,但治愈组患者发病时的年龄明显大于复发组患者(p<0.001)。患者对切除手术的满意度较高,68%的患者报告手术优于他们经历过的其他治疗方式,只有6%的患者认为手术更差。据推测,在这种慢性疾病中即使是暂时提供的快速缓解是患者满意度高的原因。