摘要
目的:探讨尾部藏毛窦的临床特点、诊断与治疗。方法:回顾性分析183例尾部藏毛窦患者的临床资料。结果:尾部藏毛窦临床表现主要为骶尾部反复肿胀疼痛,盆腔或骶尾部X片、窦道造影、B超、CT、M RI等检查有助于明确诊断。手术治疗174例,手术方式以一朗切除缝合术(94例、54.0%)、窦道切除切口开放术(53例,31.0%)和窦道切除部分缝合术(26例,15 0%)为主。随访6月～11年,1例复发,复发率0 6%。结论:应增强对尾部藏毛窦的认识,重视影像学检查在诊断中的价值,外科手术是最有效的治疗手段。
Objective To investigate the coccygeal pilonidal sinus clinical features, diagnosis and treatment. Methods The clinical data of 183 cases of the coccygeal pilonidal sinus were analyzed retrospectively. Results The coccygeal pilonidal sinus＇ main clinical manifestation was recurrent swelling and pain in sacrococcygeal region, pelvic or the coccygeal X films, sinus imaging,B ultrasound, CT, MRI etc. contributed to a clear diagnosis. 174 cases of surgical treatment, surgical approach to excision and primary closure （94 cases, 54.0%）, sinus resection incision open surgery （53 cases, 31.0%）, and resection of part of suture sinus （26 cases, 15.0%） dominated.Follow-up for 6 months to 11 years ,one case of recurrence, recurrence rate was 0.6%.Conclusion Strengthening the recognition was the coccygeal pilonidal sinus, and paying attention to imaging value in the diagnosis.Surgical treatment is the most effective means.
出处
《深圳中西医结合杂志》
2009年第5期288-291,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
尾部藏毛窦
外科手术
Coccygeal pilonidal sinus
Surgical
