开窗刮除术治疗单纯性和复杂性骶尾部藏毛疾病
Unroofing curettage for treatment of simple and complex sacrococcygeal pilonidal disease.
作者信息
Olcucuoglu Engin, Şahin Alpaslan
机构信息
Department of Surgery, University of Health Science, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Department of Surgery, University of Health Science, Konya City Hospital, Konya, Turkey.
出版信息
Ann Surg Treat Res. 2022 Oct;103(4):244-251. doi: 10.4174/astr.2022.103.4.244. Epub 2022 Oct 7.
PURPOSE
Sacrococcygeal pilonidal disease is a chronic inflammatory condition with an incidence of 26:100,000 in the United States. However, its etiology and optimal treatment remain controversial.
METHODS
We included 129 and 74 patients with simple and complex sacrococcygeal pilonidal disease, respectively. The primary outcome was pilonidal sinus recurrence after unroofing curettage. Secondary outcomes were pain scores, time to return to work/school, and time to complete recovery.
RESULTS
At a median follow-up of 53 months, the recurrence rate was 4.9% in all patients, not significantly higher in subjects with the complex disease. Duration of surgery (15.4 minutes 12.2 minutes), time to return to school/work (9.8 days 7.7 days), and complete healing time (44 days 36 days) were longer in patients with the complex disease. Postoperative complication rates, pain scores, and quality of life scores between the 2 groups did not differ.
CONCLUSION
Unroofing curettage may be a good first-choice treatment for both simple and complex sacrococcygeal pilonidal disease.
目的
骶尾部藏毛疾病是一种慢性炎症性疾病，在美国发病率为26/100,000。然而，其病因及最佳治疗方法仍存在争议。
方法
我们分别纳入了129例单纯性和74例复杂性骶尾部藏毛疾病患者。主要结局是切开刮除术后藏毛窦复发情况。次要结局包括疼痛评分、恢复工作/上学时间以及完全康复时间。
结果
中位随访53个月时，所有患者的复发率为4.9%，复杂性疾病患者的复发率并无显著升高。复杂性疾病患者的手术时长（15.4分钟±12.2分钟）、恢复上学/工作时间（9.8天±7.7天）以及完全愈合时间（44天±36天）更长。两组之间的术后并发症发生率、疼痛评分及生活质量评分并无差异。
结论
切开刮除术可能是单纯性和复杂性骶尾部藏毛疾病的一种良好首选治疗方法。
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