藏毛窦切除术及一期缝合术
Excision and primary suture of pilonidal sinus.
作者信息
Khaira H S, Brown J H
机构信息
Department of Surgery, Good Hope Hospital, Sutton Coldfield, West Midlands.
出版信息
Ann R Coll Surg Engl. 1995 Jul;77(4):242-4.
Pilonidal sinus is a common disabling condition of young adults. Many different operative treatments have been suggested, the ideal treatment is, therefore, controversial. As the recurrence rate for the various procedures is similar, avoidance of a general anesthetic, minimal inpatient stay, and minimal inconvenience and time off work become important considerations. We present our experience with excision and primary closure in 46 patients over a 4-year period. Half the patients had a general anaesthetic, the other half a spinal anaesthetic. Average duration of inpatient stay was 1 day. Early complications (haematoma, wound infection, and minor wound breakdown) occurred in 8%. Early pain was less of a feature after the use of bupivacaine infiltration at the end of the operation. There were 40 patients available for follow-up, with an average of 3 weeks off work and a recurrence rate of 17.5%. Of these patients, three have had the recurrence treated with no further problems.
藏毛窦是年轻成年人中一种常见的致残性疾病。已经提出了许多不同的手术治疗方法，因此，理想的治疗方法存在争议。由于各种手术的复发率相似，避免全身麻醉、缩短住院时间以及尽量减少不便和误工时间就成为了重要的考虑因素。我们介绍了我们在4年期间对46例患者进行切除并一期缝合的经验。一半患者接受全身麻醉，另一半接受脊髓麻醉。平均住院时间为1天。早期并发症（血肿、伤口感染和轻微伤口裂开）发生率为8%。在手术结束时使用布比卡因浸润后，早期疼痛不再是一个突出问题。有40例患者可供随访，平均误工3周，复发率为17.5%。在这些患者中，有3例复发患者接受了治疗，没有出现进一步问题。
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