藏毛疾病的诊断和治疗(附10例报告)

Diagnosis and treatment of pilonidal disease:report of 10 cases

目的 探讨藏毛疾病的诊断和治疗方法。方法 回顾分析 1991～ 2 0 0 1年收治的 10例藏毛疾病病人的临床资料。结果 10例藏毛疾病中藏毛窦 9例 ,藏毛囊肿 1例。 10例病人均反复发作骶尾部感染 ,仅 2例在瘘口内发现毛发 ,1例发现尾骨缺损。 10例均经手术治疗 ,术后病理为异物性肉芽肿 ,随访时间 1～ 11年 ,均无复发。结论 藏毛疾病容易误诊 ,术前应进行全面评估 。

ObjectiveTo explore the clinical manifestation,diagnosis and tr eatment of pilonidal disease.MethodsThe clinical data of 10 ca ses from 1991 to 20 01 were analyzed retrospectively.ResultsNine out of 10 cas es were piloni dal sinus while one was pilonidal cyst. All the cases suffered from recurrent sacrococcygeal abscess; only 2 cases had the hair in the fistular;and c occyx was damaged in one case. All the lesions were radically resected and no r ecurrence was present by 1- 11- year follow- up. Pathological di agnosis showed foreign body granuloma. ConclusionPilonidal dise ase is liable to be misdiagnosed; complete evaluation should be made before operation; radical resection is vital for preventing recurrence.