Søndenaa K, Nesvik I, Andersen E, Søreide J A
Department of Surgery, Rogaland Central Hospital, Stavanger, Norway.
Eur J Surg. 1996 Mar;162(3):237-40.
To find out the recurrence rate of chronic pilonidal sinus after excision and primary suture compared with open excision and healing by second intention.
Randomised trial.
Teaching hospital, Norway.
120 Patients treated between 1987 and 1989.
60 Patients were treated by excision and primary suture and 60 by open excision. The median follow-up period was 4.2 years.
Recurrent pilonidal sinus was seen in six patients (10%) after primary suture compared with three patients (5%) after open treatment (p = 0.49); 57 (95%) and 55 (92%), respectively, were satisfied with the outcome of treatment at follow-up (p = 0.72).
Excision and primary suture compares favourably with open excision and healing by second intention in the treatment of chronic pilonidal sinus.
比较切除并一期缝合与开放切除及二期愈合治疗慢性藏毛窦后的复发率。
随机试验。
挪威教学医院。
1987年至1989年间接受治疗的120例患者。
60例患者接受切除并一期缝合治疗，60例接受开放切除治疗。中位随访期为4.2年。
一期缝合后6例患者（10%）出现复发性藏毛窦，开放治疗后为3例患者（5%）（p = 0.49）；随访时分别有57例（95%）和55例（92%）对治疗结果满意（p = 0.72）。
在慢性藏毛窦的治疗中，切除并一期缝合与开放切除及二期愈合相比效果良好。
