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Disease that should be remembered: Sacrococcygeal pilonidal sinus disease and short history 被引量:12
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作者 Burhan Hakan Kanat Selim S?zen 《World Journal of Clinical Cases》 SCIE 2015年第10期876-879,共4页
Pilonidal sinus disease has led to heated debates since it was first described in the medical literature. Although a consensus has been built on its etiology and pathogenesis, the same course has not progressed for tr... Pilonidal sinus disease has led to heated debates since it was first described in the medical literature. Although a consensus has been built on its etiology and pathogenesis, the same course has not progressed for treatment modality. This review is a short article about the process of pilonidal sinus disease from past to present. Some important points were mentioned between the years 1833, which is accepted as the milestone for the awareness of the disease, in which it was first reported until the year of 1880, in which it was given its name. Although its name has been the same for about two centuries, some other names such as "Jeep Disease" have also been used depending on the population affected by the disease. At present, it is indisputable that the disease is acquired. Large series were presented about the treatment in the last two decades. Some surgical methods were even named after the ones who first described them and they have many supporters. However, since the treatment modalities have some advantages and disadvantages and they do not have marked superiority over others, debates still continue. We hope that pilonidal sinus disease will not lose its significance and be underrated in parallel with the developments in technology and specialization in medicine. 展开更多
关键词 pilonidal sinus HISTORY ANORECTAL disease
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Rhomboid Flap vs. Keystone Perforator Island Flap (KPIF) in the Treatment of Pilonidal Sinus Disease: Comparison of Short-Term Results
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作者 Marius D. Roatis Alexandru V. Georgescu 《International Journal of Clinical Medicine》 2020年第7期454-464,共11页
<b><span style="font-family:Verdana;">Background</span></b><span style="font-family:Verdana;"><strong></strong></span><strong><b><span... <b><span style="font-family:Verdana;">Background</span></b><span style="font-family:Verdana;"><strong></strong></span><strong><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span></strong><span style="font-family:Verdana;"> Pilonidal disease is a chronic inflammatory disease of the sacrococcygeal region that mainly affects young people. Its incidence is 26 cases per 100,000 persons. Although many techniques have been described, there is no consensus on the treatment of pilonidal sinus disease (PSD). </span><span style="font-family:Verdana;"><strong></strong></span><strong><b><span style="font-family:Verdana;">Materials</span></b><span style="font-family:Verdana;"></span></strong><b><span style="font-family:;" "=""> </span></b><span style="font-family:Verdana;"><strong></strong></span><strong><b><span style="font-family:Verdana;">and</span></b><span style="font-family:Verdana;"></span></strong><span style="font-family:;" "=""> </span><span style="font-family:Verdana;"><strong></strong></span><strong><b><span style="font-family:Verdana;">Methods</span></b><span style="font-family:Verdana;"></span></strong><strong><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span></strong><b><span style="font-family:;" "=""> </span></b><span style="font-family:Verdana;">This study included 30 patients with PSD who were treated between May 2014 and September 2017. All cases underwent excision and flap reconstruction. The operative time, postoperative complications, the length of hospital stay, painless sitting and walking time, patient satisfaction and recurrence were evaluated prospectively. </span><span style="font-family:Verdana;"><strong></strong></span><strong><b><span style="font-family:Verdana;">Results</span></b><span style="font-family:Verdana;"></span></strong><strong><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span></strong><b><span style="font-family:;" "=""> </span></b><span style="font-family:Verda 展开更多
关键词 pilonidal sinus disease Keystone Perforator Flap Rhomboid Flap Surgical Treatment
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儿童头颅先天性皮肤窦道的临床特征和手术疗效
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作者 王新法 何俊平 +6 位作者 王刚 高喆 钱静 祝永杰 邱德智 郑雷 张瑞 《中华神经外科杂志》 CSCD 北大核心 2022年第7期679-682,共4页
目的探讨儿童头颅先天性皮肤窦道(CDS)的临床特征、诊疗经验及手术疗效。方法回顾性分析南京医科大学附属儿童医院神经外科2012年5月至2021年4月收治的24例头颅CDS患儿的临床资料。其中男15例,女9例;中位年龄为2岁;病变位于枕部14例、颞... 目的探讨儿童头颅先天性皮肤窦道(CDS)的临床特征、诊疗经验及手术疗效。方法回顾性分析南京医科大学附属儿童医院神经外科2012年5月至2021年4月收治的24例头颅CDS患儿的临床资料。其中男15例,女9例;中位年龄为2岁;病变位于枕部14例、颞部7例、鼻根部3例。术前行头颅CT及其三维重建和(或)头颅MRI检查。所有患儿均行手术切除,定期随访。结果21例患儿一期全切除病变;3例先行脓肿切开引流术,二期行病变全切除术。术中显示,窦道终止于枕部骨膜者2例、硬脑膜7例、硬膜间腔11例、蛛网膜1例、枕大池1例,其余2例窦道终止于小脑,均引起小脑脓肿合并梗阻性脑积水。术后中位随访时间为58个月(6~114个月),随访期间均未再出现感染和颅内病变的复发。结论儿童头颅CDS窦道的深度决定了疾病的严重程度,严重可致脑脓肿和梗阻性脑积水。手术治疗疗效好。 展开更多
关键词 藏毛窦 先天畸形 儿童 神经外科手术 疾病特征 头颅
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骶尾部藏毛窦切除术术后应用复方黄柏液的临床疗效
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作者 李壮 董翔宇 +3 位作者 彭雪 王其其 孙艳军 孙登群 《武警医学》 CAS 2022年第12期1058-1061,共4页
目的观察骶尾部藏毛窦切除术术后应用复方黄柏液的临床疗效。方法回顾性分析2016-01至2021-06在武警安徽总队医院进行骶尾部藏毛窦治疗的38例武警战士的临床资料。根据术后是否采用复方黄柏液换药治疗分为观察组和对照组(外科常规治疗)... 目的观察骶尾部藏毛窦切除术术后应用复方黄柏液的临床疗效。方法回顾性分析2016-01至2021-06在武警安徽总队医院进行骶尾部藏毛窦治疗的38例武警战士的临床资料。根据术后是否采用复方黄柏液换药治疗分为观察组和对照组(外科常规治疗),每组19例。比较两组临床疗效、炎性指标、疼痛视觉模拟量表(VAS)、创面愈合时间等指标。结果观察组患者创面愈合时间[(26.11±12.60)d]、住院时长[(22.68±16.32)d]明显短于对照组[(38.79±21.09)d、(34.32±24.50)d],观察组治疗后VAS评分[(1.11±0.80)分]低于对照组[(1.95±0.91)分],差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组(94.74%vs.68.42%),差异有统计学意义(P=0.036)。随访3个月两组均无复发,6个月各有1例复发,在12个月对照组复发率高于观察组(10.53%vs.0),差异无统计学意义(P=0.146)。结论完成藏毛窦切除手术后的患者,配合复方黄柏液换药治疗疗效显著,可以缓解官兵骶尾部活动疼痛,提高生活质量。 展开更多
关键词 武警官兵 藏毛窦 复方黄柏液 创面愈合 疗效
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