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藏毛疾病32例诊治分析 被引量:5

Diagnosis and treatment of pilonidal disease
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摘要 目的探讨藏毛疾病的病因、诊断及治疗。方法回顾分析我院自2002年5月至2008年5月收治的32例藏毛疾病相关临床资料。结果27例为藏毛窦,内见毛发;5例为藏毛囊肿,未见毛发。29例切口一期愈合。2例切口色泽黑紫,拆除切口部分缝合线,局部加强换药后痊愈。1例因术后活动不当,切口裂开,二次缝合创面,局部换药后痊愈。术后病理学检查结果:27例为被覆鳞状上皮,部分淋巴细胞浸润,肉芽肿样组织,内见毛发。5例为纤维结缔组织内血管扩张,并见少量炎细胞浸润。术后随访8个月-4年,未见复发。结论藏毛疾病容易误诊,术前应完善相关辅助检查。明确诊断后,治疗以手术切除为主。 Objective To explore the clinical manifestation, diagnosis and treatment of pilonidal disease. Methods The clinical data of 32 cases from 2002 to 2008 were analyzed retrospectively. Results Twenty-eight of the 32 cases were male. All patients were from 18 to 62 years old. Twenty-Seven of 32 cases were pilonidal sinus and had hair in the fistular. 5 was pilonidal cyst without hair. All the lesions were radically cut off and no recurrence was present during 8 months to 4 years' follow up. Conclusion Pilonidal disease is easy to be misdiagnosed. Complete evaluation should be made before operation
出处 《中国医药》 2009年第7期544-546,共3页 China Medicine
关键词 藏毛囊肿 藏毛窦 Pilonidal sinus Pilonidal cyst
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  • 2Azab As, Kamal MS, Saad RA, et al. Radical cure of pilonidal sinus by a transposeition rhomboid flap. Br J Surg, 1984, 71(2):154-155.
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  • 6王平,林家嘉,郑玥,韩国琦,孙祖洋.一期切除缝合治愈藏毛窦2例体会[J].结直肠肛门外科,2008,14(1):13-13. 被引量:3
  • 7孔凡芬,沙剑轲.骶尾部藏毛窦1例报道[J].现代中西医结合杂志,2008,17(12):1797-1797. 被引量:4
  • 8陈叶红,费凤珍,林才照.13例骶尾部藏毛窦外科治疗体会[J].全科医学临床与教育,2008,6(5):419-420. 被引量:13
  • 9刘剑,刘洁.骶尾部藏毛窦20例误诊分析[J].临床误诊误治,2009,22(6):43-43. 被引量:5
  • 10吕永成,韩洪秋.骶尾部藏毛窦的诊断与治疗[J].中华胃肠外科杂志,2009,12(4):421-422. 被引量:8

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