Division of Pediatric Surgery, Department of Surgery, Stanford University, Palo Alto, CA, 94304, USA.
Department of Biochemistry and Molecular Biology, University of Texas Medical Branch, Galveston, TX, USA.
Pediatr Surg Int. 2022 Oct;38(10):1453-1459. doi: 10.1007/s00383-022-05175-2. Epub 2022 Jul 17.
Pilonidal Disease (PD) affects adolescents in different aspects. We hypothesized that patients with different gender, ethnicity, and age have different quality of life (QOL) measurements which could improve with minimally invasive treatment (MIT).
131 PD patients underwent MIT (laser epilation ± trephination) from 2019 to 2021. Patients' demographics were recorded. Before and after MIT, patients received QOL questionnaire consisting of four categories: daily activities, sports participation, school/work attendance, and socializing. Data were analyzed using Student and multivariate t test. P < 0.05 was considered statistically significant.
101 (51 male, 50 female) patients were included. 30 patients with incomplete data were excluded. 54% of patients were < 18 years old. 47.5% were Hispanic. Median symptom duration prior to presentation was 5.4 (1.3-15) months. Prior to MIT, patients' ability to perform daily activities, participate in sports, attend school/work, and socialize was moderately or severely impacted in 66%, 57%, 45%, and 23% of respondents, respectively; after MIT, only 7%, 8%, 2%, and 4% were affected (p < 0.01). Recurrence rate was 6%. Pre-MIT, older patients and non-Hispanics reported worse impact on their QOL. Symptom duration or PD recurrence did not correlate with patient's pre- or post-MIT QOL.
Patients' ethnicity and age impacted QOL in PD. All patients' QOL significantly improved with MIT. Considering the importance of socializing, playing sports, and school/work attendance in adolescents, our study highlights importance of early treatment of PD.
藏毛窦病（Pilonidal Disease，PD）会对青少年的多个方面产生影响。我们假设不同性别、种族和年龄的患者生活质量（Quality of Life，QOL）测量结果存在差异，微创治疗（Minimally Invasive Treatment，MIT）可能会改善这些结果。
2019 年至 2021 年，131 例 PD 患者接受了 MIT（激光除毛+钻孔）治疗。记录患者的人口统计学数据。在 MIT 治疗前后，患者接受了包括四个方面的 QOL 问卷：日常活动、运动参与、上学/工作出勤和社交。使用学生和多元 t 检验分析数据。P 值<0.05 被认为具有统计学意义。
共纳入 101 例（51 例男性，50 例女性）患者，30 例患者因数据不完整被排除。54%的患者年龄<18 岁，47.5%为西班牙裔。就诊前的中位症状持续时间为 5.4（1.3-15）个月。在 MIT 治疗前，分别有 66%、57%、45%和 23%的患者在进行日常活动、运动参与、上学/工作出勤和社交活动时受到中度或重度影响；在 MIT 治疗后，只有 7%、8%、2%和 4%的患者受到影响（P<0.01）。复发率为 6%。在 MIT 治疗前，年龄较大的患者和非西班牙裔患者报告 QOL 受到更严重的影响。症状持续时间或 PD 复发与患者 MIT 治疗前后的 QOL 均无相关性。
患者的种族和年龄会影响 PD 患者的 QOL。所有患者的 QOL 在接受 MIT 治疗后均显著改善。考虑到社交、运动和上学/工作对青少年的重要性，我们的研究强调了早期治疗 PD 的重要性。
