König Jenny, Settmacher Utz, Deeb Aladdin Ali, Rohland Oliver, Dondorf Felix, Bauschke Astrid, Rauchfuß Falk, Ardelt Michael
Friedrich-Schiller University, Jena, Germany.
Department of General, Visceral and Vascular Surgery, Jena University Hospital, Jena, Germany.
Langenbecks Arch Surg. 2025 Jun 14;410(1):193. doi: 10.1007/s00423-025-03776-8.
Pilonidal sinus disease (PSD) is a frequently occurring condition that can have a significant impact on quality of life (QoL). In addition to severe pain, particularly with movement or while sitting, this disease imposes restrictions that affect one's professional and private life. These patients frequently suffer from recurrence requiring multiple interventions and hospital stays.
The study enrolled forty-seven patients who presented with PSD from August 2010 until June 2019 and underwent primary excision and LP at the Department of General, Visceral, and Vascular Surgery at University Hospital, Jena. Forty- one of these patients were questioned retrospectively in writing or by telephone interviews between July 2021 to September 2022. The data processed using SPSS software.
The median follow-up for all patients was 86 months (range, 23-140 months). Only one recurrence (2.4%) was reported. While the participants' BMIs remained unchanged, they reported significant improvements in QoL, notably in five of the six activities of daily living that were evaluated.
The low rate of recurrence suggests that LP is an effective option for post-excision surgical repair of pilonidal sinus. The use of this procedure has no impact on patient's BMI but can significantly improve patients' QoL.
藏毛窦疾病（PSD）是一种常见病症，会对生活质量（QoL）产生重大影响。除了剧痛，尤其是在活动或坐下时，这种疾病还会带来诸多限制，影响患者的职业和私人生活。这些患者经常复发，需要多次干预和住院治疗。
该研究纳入了2010年8月至2019年6月期间因藏毛窦疾病就诊于耶拿大学医院普通、内脏和血管外科并接受初次切除和皮瓣推进术的47例患者。2021年7月至2022年9月期间，对其中41例患者进行了回顾性书面或电话访谈。使用SPSS软件处理数据。
所有患者的中位随访时间为86个月（范围为23 - 140个月）。仅报告了1例复发（2.4%）。虽然参与者的体重指数（BMI）保持不变，但他们报告生活质量有显著改善，尤其是在评估的六项日常生活活动中的五项。
低复发率表明皮瓣推进术是藏毛窦切除术后手术修复的有效选择。该手术的使用对患者的BMI没有影响，但可以显著改善患者的生活质量。
