Berger A, Frileux P
Service de Chirurgie Générale et Digestive, Hôpital Laennec, Paris.
Ann Chir. 1995;49(10):889-901.
Pilonidal sinus, acute or chronic suppuration of the sacrococcygeal region, is a common benign disease. Its treatment, usually surgical, remains controversial, between wide excision and limited excision and between primary closure and secondary closure. On the basis of our experience and a review of the literature, we propose limited excision with immediate closure for non-infected operations and exposure with immediate resection for pilonidal abscesses. Regardless of the technique used, the morbidity is high, associated with a recurrence rate of between 5 and 40%.
藏毛窦，即骶尾部急慢性化脓性疾病，是一种常见的良性疾病。其治疗通常采用手术方式，但在广泛切除与有限切除以及一期缝合与二期缝合之间仍存在争议。基于我们的经验并回顾相关文献，我们建议对于非感染性手术采用有限切除并立即缝合，对于藏毛窦脓肿采用切开并立即切除。无论采用何种技术，发病率都很高，复发率在5%至40%之间。
