Pilonidal disease in Singapore: clinical features and management.

H C Lee, Y H Ho, C F Seow, K W Eu, D Nyam
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引用次数: 77

Abstract

BACKGROUND Pilonidal disease has not been well documented in Asian people. The aims of the present study were to investigate any variations in the clinical features and effectiveness of various surgical treatments in such a population. METHODS A prospectively collected computerized database of 61 consecutive patients admitted to a specialist colorectal unit over a 9-year period was studied. The five methods of surgical treatment used during this period (incision and drainage; laying open; marsupialization; primary closure; and the flap procedure) were compared. RESULTS There were 38 men and 23 women with a mean age of 27+/-1.02 years. Pilonidal disease was significantly more common among the Indian people (52.5% of patients) than the other ethnic races in the Singaporean community (P < 0.001). Chronic discharging sinuses were the most common presentation (93.4%). There were no differences between the various surgical techniques employed with regard to the time required for wound healing (mean: 48+/-21 days) and recurrence rates (4/61, 6.6%). Wound dehiscence after primary wound closure (10%) and flap procedures (42%) meant that the overall healing rate was not faster than when the wound was just laid open. Furthermore, flap procedures required a longer hospitalization than other procedures (P = 0.005). CONCLUSION Pilonidal disease was more common among Indian people, the more hirsute among the Singaporean population. Primary closure and flap procedure did not improve overall wound healing because of dehiscence.
新加坡的毛线虫病:临床特征和管理。
背景:毛囊病在亚洲人群中没有很好的文献记载。本研究的目的是调查这些人群的临床特征和各种手术治疗的有效性的任何变化。方法:前瞻性收集计算机数据库的61例连续入院的专家结直肠单位超过9年的时间进行研究。此期间采用的五种手术治疗方法(切开引流;铺设开放;袋形缝合术;主要关闭;并与皮瓣手术进行了比较。结果:男性38例,女性23例,平均年龄27±1.02岁。在新加坡社区中,印度人(52.5%的患者)比其他族裔更常见(P < 0.001)。慢性排出性鼻窦是最常见的表现(93.4%)。不同手术方法在伤口愈合所需时间(平均:48+/-21天)和复发率(4/61,6.6%)方面没有差异。初次创面闭合(10%)和皮瓣手术(42%)后的创面开裂意味着总体愈合速度并不比刚刚打开创面时快。此外,皮瓣手术比其他手术需要更长的住院时间(P = 0.005)。结论:毛线虫病在印度人群中较常见,在新加坡人群中多毛者较多。由于裂开,初次闭合和皮瓣手术不能改善整体伤口愈合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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