Akbulut Sami, Caliskan Alper, Yilmaz Davut, Atay Arif, Garzali Ibrahim Umar, Yagmur Yusuf
Department of Surgery, Inonu University Faculty of Medicine, Malatya.
Department of Biostatistics and Medical Informatics, Inonu University Faculty of Medicine, Malatya.
Ann Med Surg (Lond). 2023 Feb 17;85(2):130-135. doi: 10.1097/MS9.0000000000000116. eCollection 2023 Feb.
This study aimed to investigate the coexistence of pilonidal sinus disease (PSD) and hirsutism in female patients.
The demographic and clinical data of 164 female patients who underwent surgery for PSD between January 2007 and May 2014 were evaluated for this retrospective cross-sectional study. Data collected for this study were age, BMI, the modified Ferriman and Gallwey scale (mFGS) for hirsutism, main symptoms, type of surgery, early postoperative complications (wound infection, wound dehiscence), recurrence, and follow-up. The independent variables are hirsutism (mFGS scores) and BMI. Dependent variables are early postoperative complications and recurrence.
The median age was 20 years (95% CI for median: 19-21 years). According to the BMI, 45.7, 50.6, and 3.7% of patients were considered normal, overweight, and obese, respectively. According to the mFGS, 11, 9.8, 52.4, and 26.8% of patients were considered to have none, mild, moderate, or severe hirsutism, respectively. Fourteen (8.5%) patients had developed recurrence. Recurrence developed in six patients with primary closure, five patients with Limberg flaps, two patients with Karydakis, and one with marsupialization. There was no statistical difference between recurrent and nonrecurrent patients in terms of BMI (=0.054) and mFGS (=0.921). On the other hand, BMI was statistically significantly higher in those who developed early postoperative complications than in those who did not (<0.001).
PSD is no longer a 'men's only disease'. BMI increases the risk of early postoperative complications, but this association was not found between BMI and recurrence. Prospective multicenter studies are needed on the relationship between PSD and hirsutism.
本研究旨在调查女性患者藏毛窦疾病（PSD）与多毛症的共存情况。
对2007年1月至2014年5月期间接受PSD手术的164例女性患者的人口统计学和临床数据进行评估，以进行这项回顾性横断面研究。本研究收集的数据包括年龄、体重指数（BMI）、多毛症改良费里曼和高尔维量表（mFGS）、主要症状、手术类型、术后早期并发症（伤口感染、伤口裂开）、复发情况及随访情况。自变量为多毛症（mFGS评分）和BMI。因变量为术后早期并发症和复发情况。
中位年龄为20岁（中位数的95%置信区间：19 - 21岁）。根据BMI，分别有45.7%、50.6%和3.7%的患者被认为体重正常、超重和肥胖。根据mFGS，分别有11%、9.8%、52.4%和26.8%的患者被认为无多毛症、轻度多毛症、中度多毛症或重度多毛症。14例（8.5%）患者出现复发。6例一期缝合患者、5例Limberg皮瓣患者、2例Karydakis皮瓣患者和1例袋形缝合患者出现复发。复发患者与未复发患者在BMI（=0.054）和mFGS（=0.921）方面无统计学差异。另一方面，术后出现早期并发症的患者BMI显著高于未出现并发症的患者（<0.001）。
PSD不再是“仅见于男性的疾病”。BMI增加术后早期并发症的风险，但未发现BMI与复发之间存在这种关联。需要进行关于PSD与多毛症关系的前瞻性多中心研究。
