Zhonghua Wei Chang Wai Ke Za Zhi. 2023 Nov 25;26(11):1008-1016. doi: 10.3760/cma.j.cn441530-20231007-00116.
Sacrococcygeal pilonidal disease(SPD) is an acquired disease intimately related to the presence of hair in the gluteal groove. Although its pathogenesis is still controversial, numerous treatment options are available for SPD including gluteal groove and surrounding skin hair removal, sinusectomy, open healing by secondary intention, primary closure, and local excision with flap reconstruction. Lacking of standardized diagnosis and treatment processes of SPD in China, Chinese Medical Doctor Association Anorectal Branch and its Clinical Guidelines Committee jointly organized experts in this field to form expert consensus opinion on the basis of summarizing latest research progress in China and abroad, experts' clinical experience and principles of evidence-based medicine. The expert group formed opinion in 12 terms of SPD diagnosis, risk factors, non-surgical treatment, surgical treatment, minimally invasive treatment, and wound management, and developed the "Chinese expert consensus on the diagnosis and treatment of sacrococcygeal pilonidal disease (2023 edition)" after rounds of discussion and revision, to improve the diagnosis and treatment of SPD.
藏毛窦疾病(SPD)是一种与臀沟毛发存在密切相关的后天性疾病。尽管其发病机制仍存在争议,但SPD有多种治疗选择,包括臀沟及周围皮肤脱毛、鼻窦切除术、二期愈合开放愈合、一期缝合以及带蒂皮瓣重建局部切除。由于我国SPD缺乏标准化的诊断和治疗流程,中国医师协会肛肠分会及其临床指南委员会在总结国内外最新研究进展、专家临床经验和循证医学原则的基础上,联合该领域专家形成专家共识意见。专家组在SPD诊断、危险因素、非手术治疗、手术治疗、微创治疗和伤口管理等12个方面形成意见,并经过多轮讨论和修订,制定了《藏毛窦疾病诊断与治疗中国专家共识(2023版)》,以提高SPD的诊治水平。