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[藏毛窦和化脓性汗腺炎的病因]

[Causes of pilonidal sinus and pyoderma fistulans sinifica].

作者信息

Stelzner F

出版信息

Langenbecks Arch Chir. 1984;362(2):105-18. doi: 10.1007/BF01254185.

DOI:10.1007/BF01254185
PMID:6738258
Abstract

Pilonidal sinus is of the same origin as the Pyodermia fistulans sinifica . Both diseases are retention dermatopathies . These sinuses are not of congenital origin. Our observations have made an acquired origin seem more likely. Deep skin folds in the rima ani, the stiffness of the body hairs, the rolling movement of naturally separated hairs push the hair through the skin like a pin. If a hair is rubbed, it moves in the direction of its root with the peripherally directed hair scales. Excision of the sinus area and transplantation of an epithelial flap is the best therapy.

摘要

藏毛窦与中国毛囊闭锁三联征起源相同。这两种疾病均为潴留性皮肤病。这些窦道并非先天性起源。我们的观察结果表明后天性起源的可能性更大。肛门裂中的深部皮肤褶皱、体毛的僵硬以及自然分离毛发的滚动运动,会像针一样将毛发刺入皮肤。如果毛发受到摩擦,它会带着向外的毛鳞片朝着根部的方向移动。切除窦道区域并移植上皮瓣是最佳治疗方法。

相似文献

1
[Causes of pilonidal sinus and pyoderma fistulans sinifica].[藏毛窦和化脓性汗腺炎的病因]
Langenbecks Arch Chir. 1984;362(2):105-18. doi: 10.1007/BF01254185.
2
[Pyodermia sinifica fistulans with fatal outcome].伴有致命结局的化脓性瘘管性皮病
Chirurg. 1994 Apr;65(4):395-8; discussion 398-9.
3
[Is pyodermia fistulans sinifica of clinical importance?].[中国皮肤瘘管病具有临床重要性吗?]
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:556-8.
4
[Pyodermia fistulans sinifica (author's transl)].[中国瘘管性脓皮病(作者译)]
Dermatol Monatsschr. 1979 Jun;165(6):418-24.
5
Pyoderma fistulans sinifica (fox den disease): a distinctive soft-tissue infection.匐行性穿通性脓皮病(狐穴病):一种独特的软组织感染。
Clin Infect Dis. 1995 Jul;21(1):162-70. doi: 10.1093/clinids/21.1.162.
6
Barber's interdigital pilonidal sinus of the hand: a foreign body hair granuloma.手部巴伯氏指间藏毛窦:一种异物性毛发肉芽肿。
J Hand Surg Am. 1990 Jul;15(4):652-5. doi: 10.1016/s0363-5023(09)90031-4.
7
The origin of pilonidal sinus: a case report.藏毛窦的起源:一例报告
J Dermatol. 1995 Sep;22(9):696-9. doi: 10.1111/j.1346-8138.1995.tb03902.x.
8
"Interdigital pilonidal sinus in a hairdresser" a case report.“一名美发师的指间藏毛窦”病例报告
Dermatol Ther. 2018 May;31(3):e12594. doi: 10.1111/dth.12594. Epub 2018 Mar 13.
9
[The Limberg transposition flap in surgical therapy of chronic pilonidal sinus].[Limberg转移皮瓣在慢性藏毛窦手术治疗中的应用]
Zentralbl Chir. 2000;125(12):976-81. doi: 10.1055/s-2000-10076.
10
Rare occupational disease of hair dressers: interdigital pilonidal sinus.美发师的罕见职业病:指间藏毛窦。
J Nippon Med Sch. 2007 Oct;74(5):364-6. doi: 10.1272/jnms.74.364.

引用本文的文献

1
[Reply to the letter to the editor on long-term results of a pilot study on the two-stage procedure with primary excision and Limberg flap in the interval for treatment of sacrococcygeal pilonidal sinus disease].[回复给编辑的信,内容关于一项试点研究的长期结果,该研究采用一期切除加中间Limberg皮瓣的两阶段手术治疗骶尾部藏毛窦疾病]
Chirurgie (Heidelb). 2025 Aug;96(8):675-676. doi: 10.1007/s00104-025-02327-7. Epub 2025 Jun 23.
2
Adolescent pilonidal disease laser treatment (a-PiLaT): a pilot study.青少年藏毛窦病激光治疗(a-PiLaT):一项初步研究。
Tech Coloproctol. 2024 Aug 14;28(1):104. doi: 10.1007/s10151-024-02972-w.
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本文引用的文献

1
The nature of the pilonidal sinus.藏毛窦的本质。
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2
Pilonidal sinus presenting in the suprapubic region of a woman.一名女性耻骨上区域出现藏毛窦。
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A COMPARISON OF BARBER'S AND POSTANAL PILONIDAL SINUSES.巴伯氏窦与肛门后藏毛窦的比较
Laser depilation as adjuvant therapy in prevention of recurrence of pilonidal sinus disease: initial experience of a district general hospital in the UK.
激光脱毛作为辅助治疗预防藏毛窦疾病复发:英国一家区综合医院的初步经验
Ann R Coll Surg Engl. 2020 Nov;102(9):685-688. doi: 10.1308/rcsann.2020.0069. Epub 2020 Apr 17.
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Short-term outcomes of endoscopic pilonidal sinus treatment.内镜下藏毛窦治疗的短期疗效
Ann R Coll Surg Engl. 2020 Feb;102(2):94-97. doi: 10.1308/rcsann.2019.0097. Epub 2019 Aug 5.
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The endoscopic treatment of pilonidal sinus disease: a short-term case-series study.藏毛窦疾病的内镜治疗:一项短期病例系列研究。
Ann Saudi Med. 2019 May-Jun;39(3):192-196. doi: 10.5144/0256-4947.2019.192. Epub 2019 May 30.
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Scanning electron microscope imaging of pilonidal disease.藏毛疾病的扫描电子显微镜成像。
Tech Coloproctol. 2017 Nov;21(11):905-906. doi: 10.1007/s10151-017-1702-0. Epub 2017 Oct 25.
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Pilonidal Sinus Disease: Are Naval Mines Relevant?藏毛窦疾病:与水雷有关吗?
World J Surg. 2017 Nov;41(11):2968-2969. doi: 10.1007/s00268-017-3980-0.
8
[Sequential intervention with primary excision and Limberg plastic surgery procedure for treatment of sacrococcygeal pilonidal sinus : Results of a pilot study].[采用一期切除和Limberg整形手术序贯干预治疗骶尾部藏毛窦:一项初步研究的结果]
Chirurg. 2015 Aug;86(8):771-5. doi: 10.1007/s00104-014-2963-z.
9
Microbiology of the infected recurrent sacrococcygeal pilonidal sinus.感染性复发性骶尾部藏毛窦的微生物学
Int Wound J. 2016 Apr;13(2):231-7. doi: 10.1111/iwj.12274. Epub 2014 Apr 24.
10
Prevalence of sacrococcygeal pilonidal sinus as a silent disease.尾骨部藏毛窦作为一种隐匿性疾病的流行情况。
Surg Today. 2013 Nov;43(11):1286-9. doi: 10.1007/s00595-012-0433-0. Epub 2012 Nov 25.
Br J Surg. 1964 Jul;51:513-6. doi: 10.1002/bjs.1800510712.
4
A CONSERVATIVE TREATMENT OF PILONIDAL SINUS.藏毛窦的保守治疗
Br J Surg. 1964 Jul;51:510-2. doi: 10.1002/bjs.1800510711.
5
[Pyodermia fistulans sinifica. On the clinical and histopathological changes in fistulous dermatitis with remarks on the relation to so-called hidradenitis suppurativa and acne conglobata].[中国瘘管性脓皮病。关于瘘管性皮炎的临床和组织病理学变化,并论及与所谓化脓性汗腺炎和聚合性痤疮的关系]
Chirurg. 1962 Dec;33:534-8.
6
[Etiology and therapy of pilonidal sinus].[藏毛窦的病因与治疗]
Chirurg. 1963 Jul;34:303-8.
7
Pilonidal disease: a new concept of pathogenesis.藏毛窦疾病:发病机制的新概念
Dis Colon Rectum. 1959 May-Jun;2(3):303-7. doi: 10.1007/BF02616896.
8
Pilonidal sinus of the umbilicus.脐部藏毛窦
Lancet. 1956 Aug 11;271(6937):281-2. doi: 10.1016/s0140-6736(56)92081-5.
9
Pilonidal sinus; a new theory of origin.藏毛窦;一种新的起源理论。
Br J Surg. 1955 Jul;43(177):62-8. doi: 10.1002/bjs.18004317708.
10
The origin of sacrococcygeal pilonidal sinuses based on an analysis of four hundred sixty-three cases.基于463例病例分析的骶尾部藏毛窦的起源
Am J Pathol. 1954 Nov-Dec;30(6):1191-205.