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化脓性汗腺炎的外科治疗

Surgical management of hidradenitis suppurativa.

作者信息

Gierek Marcin, Ochała-Gierek Gabriela, Kitala Diana, Łabuś Wojciech, Bergler-Czop Beata

机构信息

Dr Sakiel's Centre for Burn Treatment, Siemianowice Śląskie, Poland.

Department of Dermatology and Venereology, Sosnowiec City Hospital, Sosnowiec, Poland.

出版信息

Postepy Dermatol Alergol. 2022 Dec;39(6):1015-1020. doi: 10.5114/ada.2022.115323. Epub 2022 Apr 11.

DOI:10.5114/ada.2022.115323
PMID:36686007
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9837573/
Abstract

Hidradenitis suppurativa (HS) is a chronic disease, which causes painful discomfort. The main regions involved in this disease are axillary, inguinal and perianal. The etiology is unknown at present. It is suggested that genetics, smoking and diabetes are involved in HS. General treatment consists of antibiotics and anti-inflammatory biological drugs. HS is a multidisciplinary disease, which involves surgical treatment as well. We would like to present surgical treatment in HS. Deroofing and drainage/incisions are the most frequent techniques in general surgery departments. The article describes additional techniques such as skin grafts and flaps. We conclude that local flaps are the best choice in surgical treatment.

摘要

化脓性汗腺炎(HS)是一种慢性疾病,会引起疼痛不适。该疾病主要累及腋窝、腹股沟和肛周区域。目前其病因尚不清楚。有人认为遗传、吸烟和糖尿病与化脓性汗腺炎有关。一般治疗包括使用抗生素和抗炎生物药物。化脓性汗腺炎是一种多学科疾病,也涉及手术治疗。我们想介绍一下化脓性汗腺炎的手术治疗。去顶和引流/切开是普通外科最常用的技术。本文还描述了诸如植皮和皮瓣等其他技术。我们得出结论,局部皮瓣是手术治疗的最佳选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67df/9837573/df640b8abed7/PDIA-39-46836-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67df/9837573/cf52c5bb48ac/PDIA-39-46836-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67df/9837573/df640b8abed7/PDIA-39-46836-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67df/9837573/cf52c5bb48ac/PDIA-39-46836-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67df/9837573/df640b8abed7/PDIA-39-46836-g002.jpg

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Postepy Dermatol Alergol. 2020 Dec;37(6):915-920. doi: 10.5114/ada.2020.102108. Epub 2021 Jan 6.
2
Comorbidities of hidradenitis suppurativa: A review of the literature.化脓性汗腺炎的合并症:文献综述
Int J Womens Dermatol. 2019 Jul 2;5(5):330-334. doi: 10.1016/j.ijwd.2019.06.026. eCollection 2019 Dec.
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Efficacy and satisfaction of surgical treatment for hidradenitis suppurativa.
化脓性汗腺炎:皮肤病理学见解与手术成功策略
Skin Res Technol. 2024 Sep;30(9):e70069. doi: 10.1111/srt.70069.
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Efficacy of spironolactone in treating hidradenitis suppurativa in women of childbearing age: a single-center retrospective analysis.螺内酯治疗育龄期女性化脓性汗腺炎的疗效:一项单中心回顾性分析
Int J Womens Dermatol. 2024 Jul 1;10(3):e159. doi: 10.1097/JW9.0000000000000159. eCollection 2024 Oct.
5
Advances in surgical treatment of hidradenitis suppurative.化脓性汗腺炎的外科治疗进展。
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2023 Nov 2;52(6):795-801. doi: 10.3724/zdxbyxb-2023-0326.
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J Clin Med. 2023 Jun 13;12(12):4014. doi: 10.3390/jcm12124014.
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