Mansoory A, Dickson D
Surg Gynecol Obstet. 1982 Sep;155(3):409-11.
The theory of acquired origin of pilonidal sinus disease has been emphasized. Advantages of Z-plasty over the other surgical methods for treatment of this disease have been elaborated. The extremely low recurrence rate following Z-plasty for pilonidal sinus results from the fact that the operation was planned with the true physiopathology of the disease in mind. It is the deep intergluteal fold which predisposes to pilonidal sinuses, and this architecture is materially altered with the Z-plasty. In a series of 120 patients, there were only two recurrences and only five hematomas and wound abscesses. There were no necrosis of flaps and no wound disruptions. This represents an improvement over the results of other modalities of treatment of this disease.
藏毛窦疾病后天起源的理论已得到强调。阐述了Z成形术相对于其他治疗该疾病手术方法的优势。Z成形术治疗藏毛窦后极低的复发率源于手术是在考虑疾病真正病理生理学的情况下进行规划的。是臀间深皱襞易引发藏毛窦，而Z成形术会实质性改变这种结构。在120例患者的系列研究中，仅出现2例复发，仅有5例血肿和伤口脓肿。未出现皮瓣坏死和伤口裂开情况。这相较于该疾病其他治疗方式的结果有所改善。
