Hegge H G, Vos G A, Patka P, Hoitsma H F
Surgery. 1987 Jul;102(1):52-4.
This article reports on the results of conservative treatment of 48 patients with complicated pilonidal sinus disease. The treatment consisted of an injection of phenol 80% into the sinus tract after the patients had undergone depilation and excavation while under local anesthesia. The number of phenol injections in each patient varied from one to nine (mean: two injections). Patients were considered cured if no signs of recurrent pilonidal sinus disease occurred within 1 year after treatment. The mean follow-up period after cure was 3 years (range: 1 to 6 years). The recurrence rate was 6.3% (a 95% confidence interval of 1.3% to 17.2%), which was one of the lowest reported for different methods of treatment for pilonidal sinus disease. The good results in this study justify continuation of conservative treatment of pilonidal sinus disease, especially in view of the low costs and the high degree of patient comfort. Sclerosing therapy with phenol is thus recommended as a successful treatment for complicated pilonidal sinus disease.
本文报道了48例复杂性藏毛窦疾病患者保守治疗的结果。治疗方法为在局部麻醉下，患者进行脱毛和窦道切除后，向窦道内注射80%的苯酚。每位患者苯酚注射次数从1次到9次不等（平均：2次注射）。如果治疗后1年内未出现复发性藏毛窦疾病的迹象，则认为患者已治愈。治愈后的平均随访期为3年（范围：1至6年）。复发率为6.3%（95%置信区间为1.3%至17.2%），这是不同治疗方法中报道的藏毛窦疾病复发率最低的之一。本研究的良好结果证明了藏毛窦疾病保守治疗的持续可行性，特别是考虑到成本低和患者舒适度高。因此，推荐苯酚硬化疗法作为复杂性藏毛窦疾病的一种成功治疗方法。
