期刊文献+

骶尾部藏毛窦的诊断与治疗体会 被引量:3

Diagnosis and treatment understanding of pilonidal disease
下载PDF
导出
摘要 目的:探讨骶尾部藏毛窦疾病的诊断与治疗方法。方法:回顾分析2008~2009年本科收治的8例骶尾部藏毛窦患者的临床资料。结果:8例患者均表现为骶尾部脓肿,反复破溃,经久不愈。查体:仅有1例患者窦口内见毛发,所有患者病灶周围与肛管间未触及条索状物。8例患者均行一期切除缝合术,随访6~24个月,均无复发。术后病理检查为真皮纤维结缔组织,并有大量淋巴细胞、浆细胞以及中性粒细胞浸润。结论:藏毛窦疾病易误诊误治,术前应进行全面评估,彻底手术切除是预防复发的关键。 Objective: To explore the diagnosis and treatment method of pilonidal disease.Methods: The clinical data of 8 patients from 2008 to 2009 were analyzed retrospectively. Results: All the cases suffered from recurrent sacrococcygeal abscess,repeated ulceration,prolonged unhealed.Only 1 cases had the hair in the fistular, no streak was touched between the lesions and the anal canal section.All the lesions were radically resected and no recurrence was present by 6-24 months follow-up.Pathological diagnosis showed much of lymphocyte,plasma cell,neutrophil in dermal fibrous connective tissue. Conclusion: Pilonidal disease is liable to be misdiagnosed, complete evaluation should be made before operation;radical resection is vital for preventing recurrence.
出处 《中国当代医药》 2010年第27期181-182,共2页 China Modern Medicine
关键词 骶尾部 藏毛窦 临床分析 Sacrococcygeal Pilonidal sinus Clinical analysis
  • 相关文献

参考文献8

二级参考文献9

  • 1Gould SW, et al. Image-guided surgery for anal fistula in a 0. 5T interventional MRI unit. J Magn Reson Imaging,2002, 16 (3): 267-76.
  • 2BEATTIE G C, et al. A case of sacro-coccygeal chordoma masquerading as pilonidal sinus. J R Coll Surg Edinb, 2000, 45: 254-255.
  • 3Hull TL, Wu J. Pilonidal Disease. Surg Clin North Am. 2002, 82 (6): 1169-85.
  • 4Kapan M, et al. Sacrococcygeal pilonidal sinus disease with Limberg flap repair. Tech Coloproctol, 2002, 6(1): 27-32.
  • 5Perruchoud C, et al. Pilonidal sinus: how to choose between excision and open granulation versus excision and primary closure? Study of a series of 141 patients operated on from 1991to 1995. Swiss Surg, 2002, 8(6) : 255-8.
  • 6王玉成.骶尾部藏毛窦[J].中国肛肠病杂志,1985,5(1):36-36.
  • 7Gould S W. Image guided surgery for anal fistula in a 0.5T interventional MRI unit[ J ]. J Mage Reson Imaging, 2002,16( 3 ):267.
  • 8Spivak H, Brooks VL, Nussbaum M, et al. Treatment of chronic pilonidal disease[J]. Dis Colon Rectum , 1996,39 : 1136-1139.
  • 9傅传刚,姚航,金黑鹰,孟荣贵,崔龙,于恩达,金国祥,张卫,喻德洪.藏毛疾病的诊断和治疗(附10例报告)[J].中国实用外科杂志,2004,24(3):169-170. 被引量:58

共引文献74

同被引文献42

  • 1Aysan E, Ilhan M, Bektas H, et al. Prevalence of sacrococcygeal pilonidal sinus as a silent disease [J]. Surg Today, 2012 Nov 25. [ Epub ahead of palm ].
  • 2Maghsoudi H, Nezami N, Ghamari AA. Ambulatory treatment of chronic pilonidal sinuses with lateral incision and primary suture [I]. Can J Surg, 2011, 54(2): 78-82.
  • 3Smfd D, Novtk P, Liska V, et al. Pilonidal sinus-surgical man- agement at our surgical clinic [J]. Rozhl Chir, 2011, 90(5): 301-305.
  • 4Bolandparvaz S, Moghadam Dizaj P, Salahi R, et al. Evalua- tion of the risk factors of pilonidal sinus: A single center experi- ence [J]. Turk J Gastroenterol, 2012, 23(5): 535-537.
  • 5Harlak A, Mentes O, Kilic S, et al. Sacrococcygeal pilonidal disease: analysis of previously proposed risk factors [J]. Clinics (Sao Paulo). 2010.65(2): 125-131.
  • 6Horwood J, Hanmtty D, Chandran P, et al. Primary closure or rhomboid excision and LimbgTg flap for the management of primary sacrococcygeal pilonidal disease ? A meta-analysis of randomized controlled trials [ J ]. Colorectal Dis, 2012, 14(2): 143-151.
  • 7Othman I, Skin glue improves outcome aiter excision and primary closure of sacrococcygeal pilonidal disease [J]. Indian J Surg, 2010, 72(6): 470-474.
  • 8Gidwani AL, Murugan K, Nasir A, et al. Incise and lay open an effective procedure for coccygeal pilonidal sinus disease [J] Ir J Med Sci, 2010, 179(2): 207-210.
  • 9Dudink R, Veldkamp J, Nienhuijs S, et al. Secondary healing versus midline closure and modified Bascom natal cleft lift for pilonidal sinus disease [J]. Scand J Surg, 2011, 100(2): 110-113.
  • 10Eryilmaz R, Okan I, Coskun A, et al. Surgical treatment of com- plicated pilonidal sinus with a fasciocutaneous V-Y advancement flap [J]. Dis Colon Rectum, 2009, 52(12): 2036-2040.

引证文献3

二级引证文献20

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部