Clinique de La Sauvegarde, Lyon, France.
Lasers Med Sci. 2024 Nov 23;39(1):287. doi: 10.1007/s10103-024-04239-0.
Recently, a minimally invasive procedure based on a laser technique (SiLaT) has been developed for the treatment of pilonidal cysts. Although less invasive and less painful than surgery, this solution is nevertheless limited by its high cost. Other more affordable laser devices, such as the holmium laser, are also used in minimally invasive surgery. The objective of this study was to evaluate the possibility of using the holmium laser instead of the SiLaT laser in the treatment of pilonidal cysts. Retrospective cohort study with the primary endpoint being the cure rate one month after treatment. Median duration of local care was 21 days (mean = 22 ± 7.5) and healing rate at 1 month was 90.7%. During follow-up, 102 patients (44.9%) experienced pain in the coccygeal region often exacerbated by sitting and significantly more common in people with a small frame, overwhelmingly female. A surgical site infection was reported in 36 patients (15.9%). Recurrence, occurred in 39 patients (17.2%), was related to cyst type (type 1 do not recur, type 3 recur twice three time than type 2). Holmium laser does not differ from SiLaT laser in the healing rate of pilonidal cysts after treatment. However, it is characterised by a moderately higher incidence of complications, foremost of which is the occurrence of pain that can persist for up to a year after the procedure and which could be related to an increase in heat inherent to the use of holmium. As a result, this procedure does not seem to represent an alternative to SiLaT.
最近，一种基于激光技术的微创手术（SiLaT）已经被开发出来，用于治疗藏毛窦囊肿。虽然比手术创伤小、疼痛轻，但这种治疗方法仍然受到高成本的限制。其他更经济实惠的激光设备，如钬激光，也被用于微创手术。本研究旨在评估在治疗藏毛窦囊肿时，用钬激光替代 SiLaT 激光的可能性。这是一项回顾性队列研究，主要终点是治疗后一个月的治愈率。局部护理的中位数持续时间为 21 天（平均值为 22 ± 7.5），1 个月的愈合率为 90.7%。在随访期间，102 名患者（44.9%）出现尾骨区域疼痛，常因久坐而加重，且在身材较小的人群中更为常见，绝大多数为女性。36 名患者（15.9%）报告发生手术部位感染。39 名患者（17.2%）出现复发，与囊肿类型有关（1 型不会复发，3 型比 2 型复发的次数多两倍）。钬激光与 SiLaT 激光在治疗藏毛窦囊肿后的愈合率方面没有差异。然而，它的并发症发生率略高，其中最主要的是疼痛的发生，这种疼痛在手术后可能持续长达一年，这可能与钬激光使用过程中热量的增加有关。因此，这种治疗方法似乎并不替代 SiLaT 激光。
