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[藏毛窦手术翻修与单次抗菌治疗]

[Surgical revision of the pilonidal sinus with single shot antibiosis].

作者信息

Bunke H J, Schultheis A, Meyer G, Düsel W

机构信息

Abteilung für Chirurgie des Bundeswehrkrankenhaus Giessen.

出版信息

Chirurg. 1995 Mar;66(3):220-3.

PMID:7750394
Abstract

For a therapy of the pilonidal sinus there are different surgical and non-surgical methods to be found in literature. In our surgical wing 140 male patients have been operated on this disease from September 1990 to July 1992. 16 cases out of these 140 were re-operations. Using a special surgical technique we applied the excision with a primary closure under single-shot antibiosis in 139 cases. By modifying this antibiosis prophylaxis we could reach a primary success healing rate of up to 96%. A retrospective study among our patients showed a recurrence rate of 5%.

摘要

关于藏毛窦的治疗,文献中有不同的手术和非手术方法。在我们的外科病房,1990年9月至1992年7月期间有140名男性患者接受了该疾病的手术治疗。这140例中有16例是再次手术。我们采用一种特殊的手术技术,在139例患者中进行了切除并一期缝合,同时给予单次抗菌治疗。通过改进这种抗菌预防措施,我们能够使一期愈合成功率高达96%。对我们患者的一项回顾性研究显示复发率为5%。

相似文献

1
[Surgical revision of the pilonidal sinus with single shot antibiosis].[藏毛窦手术翻修与单次抗菌治疗]
Chirurg. 1995 Mar;66(3):220-3.
2
[Primary midline closure after excision of a pilonidal sinus is associated with a high recurrence rate].藏毛窦切除术后一期中线缝合与高复发率相关。
Chirurg. 2003 May;74(5):461-8. doi: 10.1007/s00104-003-0616-8.
3
[Pilonidal Sinus -- Primary Closure also in Case of Abscess?].[藏毛窦——脓肿情况下也可一期缝合?]
Zentralbl Chir. 2004 Jun;129(3):216-9. doi: 10.1055/s-2004-822742.
4
[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.
5
[Therapy of the pilonidal sinus--Primary wound closure or open wound after excision].藏毛窦的治疗——切除术后一期伤口缝合还是开放伤口
Zentralbl Chir. 2002 Apr;127(4):310-4. doi: 10.1055/s-2002-31557.
6
Management of pilonidal sinus disease with oblique excision and primary closure: results of 493 patients.采用斜行切除和一期缝合治疗藏毛窦疾病:493例患者的治疗结果
Dis Colon Rectum. 2006 Jan;49(1):104-8. doi: 10.1007/s10350-005-0226-2.
7
Outcome at three to five years of primary closure of perianal and pilonidal abscess. A randomised, double-blind clinical trial with a complete three-year followup of one compared with four days' treatment with ampicillin and metronidazole.肛周和藏毛窦脓肿一期缝合三至五年的结局。一项随机、双盲临床试验,对一组进行了完整的三年随访,并与氨苄西林和甲硝唑治疗四天进行比较。
Eur J Surg. 1993 Oct;159(10):555-8.
8
[Pilonidal cysts and fistulas: radical excision "en bloc" and closure "per primam"].藏毛囊肿和瘘管:整块根治性切除及一期缝合
Minerva Chir. 1995 Jun;50(6):553-6.
9
[Results of the Limberg transposition flap in the treatment of pilonidal sinus].[Limberg转移皮瓣治疗藏毛窦的结果]
Zentralbl Chir. 2002 Aug;127(8):712-5. doi: 10.1055/s-2002-33579.
10
[Therapy of pilonidal sinus with the Limberg transposition flap].[采用林贝格转移皮瓣治疗藏毛窦]
Chirurg. 1995 Mar;66(3):192-5.

引用本文的文献

1
Impact of geography and surgical approach on recurrence in global pilonidal sinus disease.地理因素和手术方式对全球藏毛窦疾病复发的影响。
Sci Rep. 2019 Oct 22;9(1):15111. doi: 10.1038/s41598-019-51159-z.
2
Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence.常见的手术治疗藏毛窦疾病:荟萃分析、合并数据分析和复发的综合研究。
Sci Rep. 2018 Feb 15;8(1):3058. doi: 10.1038/s41598-018-20143-4.
3
Commentary: letter to the editor "do smoking and obesity really do not have any negative influence on wound healing after surgery of pilonidal disease?" of Cuneyt Kayaalp.
评论:致编辑的信《藏毛疾病手术后吸烟和肥胖真的对伤口愈合没有任何负面影响吗?》——居内伊特·卡亚尔普著
Int J Colorectal Dis. 2014 Oct;29(10):1305-6. doi: 10.1007/s00384-014-1897-8.
4
Antimicrobials as an adjunct to pilonidal disease surgery: a systematic review of the literature.抗菌药物作为骶尾部藏毛窦疾病手术的辅助治疗:文献系统评价。
Eur J Clin Microbiol Infect Dis. 2013 Jul;32(7):851-8. doi: 10.1007/s10096-013-1830-z. Epub 2013 Feb 5.
5
[Pit-picking surgery for pilonidal disease].藏毛疾病的摘皮手术
Chirurg. 2011 Oct;82(10):927-31. doi: 10.1007/s00104-011-2077-9.
6
Short-term results of Karydakis flap for pilonidal sinus disease.Karydakis皮瓣治疗藏毛窦疾病的短期疗效
Tech Coloproctol. 2007 Sep;11(3):235-40. doi: 10.1007/s10151-007-0357-7. Epub 2007 Aug 3.
7
What is the role of mechanical bowel preparation in patients with pilonidal sinus undergoing surgery? Prospective, randomized, surgeon-blinded trial.
World J Surg. 2005 Nov;29(11):1465-71. doi: 10.1007/s00268-005-0007-z.