Tatlıparmak Aslı, Doğan Murat, Türkoğlu Zafer
Department of Dermatology, Üsküdar University, 34768 İstanbul, Türkiye.
Department of Dermatology, Başakşehir Çam and Sakura City Hospital, Health Sciences University, 34480 İstanbul, Türkiye.
Diagnostics (Basel). 2025 Jun 5;15(11):1442. doi: 10.3390/diagnostics15111442.
: The accurate measurement of tunnel lengths in hidradenitis suppurativa (HS) is critical for surgical planning. This study aimed to evaluate the agreement between palpation and high-frequency ultrasound (USG) for assessing tunnel lengths in HS patients. : This prospective study included patients who underwent the surgical excision of tunnels between May 2024 and July 2024 at a referral dermatology clinic. Tunnel lengths were measured preoperatively using palpation and USG. Clinical and demographic data, including lesion localization and disease severity, were prospectively recorded and analyzed. : This study analyzed 121 lesions from patients undergoing surgical excision for HS. Tunnel lengths measured by palpation had a median of 30 mm [IQR 18-40], while USG measurements had a median of 36 mm [IQR 24-51.5], with USG identifying tunnels 10.3 mm longer on average (95% CI: 8.2-12.3). Axillary lesions were most frequent (53.7%), followed by inguinal (32.2%) and sacral regions (6.6%). Most lesions were classified as Hurley stage 2 (59.5%) and stage 3 (37.2%), with a median IHS4 score of 8 [IQR 7-11]. : High-frequency USG offers greater precision than palpation in measuring tunnel lengths, indicating its potential to enhance disease assessments in HS.
准确测量化脓性汗腺炎（HS）的窦道长度对于手术规划至关重要。本研究旨在评估触诊与高频超声（USG）在评估HS患者窦道长度方面的一致性。：这项前瞻性研究纳入了2024年5月至2024年7月在一家转诊皮肤科诊所接受窦道手术切除的患者。术前使用触诊和USG测量窦道长度。前瞻性记录并分析包括病变部位和疾病严重程度在内的临床和人口统计学数据。：本研究分析了121例接受HS手术切除患者的病变。触诊测量的窦道长度中位数为30mm[四分位间距18 - 40]，而USG测量的中位数为36mm[四分位间距24 - 51.5]，USG平均识别出的窦道长10.3mm（95%置信区间：8.2 - 12.3）。腋窝病变最为常见（53.7%），其次是腹股沟（32.2%）和骶尾部（6.6%）。大多数病变被分类为Hurley 2期（59.5%）和3期（37.2%），IHS4评分中位数为8[四分位间距7 - 11]。：高频USG在测量窦道长度方面比触诊具有更高的精度，表明其在增强HS疾病评估方面的潜力。
