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【World J Surg】菱形皮瓣技术用于复发性藏毛疾病之结果

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菱形皮瓣用于复发性藏毛疾病之结果

EL Khadrawy ET AL:Outcome of the rhomboid flap for recurrent pilonidal disease.World J Surg. 2009 ,33(5):1064-8.

Source

Department of Surgery, Tanta University Hospital, Tanta, Egypt.

Abstract

BACKGROUND:

Pilonidal sinus is a common chronic disease of the sacrococcygeal region.
Treatment varies according to the clinical presentation of the disease.
Although many surgical methods have been suggested, an ideal method is still lacking because of high recurrence rates.
Recurrent disease causes significant morbidity, particularly missing time from work.
The aim of this study was to assess the rhomboid flap's role in promoting primary healing in recurrent pilonidal disease and to evaluate morbidity and recurrence.

METHODS:

This prospective study included 60 patients who were treated with the use of a rhomboid flap closure for recurrent sacrococcygeal pilonidal sinus at Tanta University Hospital, Egypt, from January 2000 to October 2006.
The follow-up period ranged from 6 months to 7 years, with the mean follow-up period about 2.5 years.

RESULTS:
There were 46 males and 14 females with a median age of 18 years (range = 16-38 years).
The mean hospital stay was 6 days (range=5-11 days).
Four patients had to be hospitalized for 1-2 weeks due to superficial wound infection; they recovered with injected antibiotics.
The mean time to return to work after discharge from the hospital was 15 days (range = 12-26 days).
Postoperative morbidity involved superficial wound infection in 9 patients (15%).
There were six recurrences (10%).
Eleven patients (18.3%) had numbness over the flap and 12 patients (20%) were not pleased with the cosmetic appearance of the scars.

CONCLUSIONS:

Our study favors the rhomboid flap for recurrent sacrococcygeal pilonidal sinus, especially for complex sinuses, and found it suitable for cases where simpler operations have failed.

It allows early return to full activity, does not necessitate prolonged postoperative care, and has very low recurrence and complications rates which may outweigh the disadvantages related to an unfavorable cosmetic appearance.

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2011-11-28 07:07 浏览 : 904 回复 : 3

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菱形皮瓣用于复发性藏毛疾病之结果

EL Khadrawy ET AL:Outcome of the rhomboid flap for recurrent pilonidal disease.World J Surg. 2009 ,33(5):1064-8.

来源 Source

坦塔大学医院外科,埃及,坦塔 Department of Surgery, Tanta University Hospital, Tanta, Egypt.

摘要 Abstract

背景： BACKGROUND:

藏毛窦是一种骶尾部区常见的的慢性疾病。
Pilonidal sinus is a common chronic disease of the sacrococcygeal region.

根据这种疾病的临床表现,治疗方法有所不同。
Treatment varies according to the clinical presentation of the disease.

虽然已经提出许多手术方法，因为高复发率仍缺乏理想的方法。
Although many surgical methods have been suggested, an ideal method is still lacking because of high recurrence rates.

这种复发性疾病造成显著的发病率，尤其是减少了病人的工作时间。
Recurrent disease causes significant morbidity, particularly missing time from work.

这项研究的目的旨在评估菱形皮瓣在促进复发性性藏毛疾病愈合之作用并评价其发病率和复发率。
The aim of this study was to assess the rhomboid flap's role in promoting primary healing in recurrent pilonidal disease and to evaluate morbidity and recurrence.

方法： METHODS:

本前瞻性研究包括60例病人,从2000年1月至2006年10月止在埃及坦塔大学医院, 这些复发性骶尾部藏毛窦病人经历了使用一种菱形瓣关闭技术的治疗。
This prospective study included 60 patients who were treated with the use of a rhomboid flap closure for recurrent sacrococcygeal pilonidal sinus at Tanta University Hospital, Egypt, from January 2000 to October 2006.
随访期6个月至7年不等，平均随访期约2.5年。
The follow-up period ranged from 6 months to 7 years, with the mean follow-up period about 2.5 years.

结果： RESULTS:
男性46名,女性14例,中位数年龄18岁（波动:16-38岁）。
There were 46 males and 14 females with a median age of 18 years (range = 16-38 years).
平均住院日6天（波动: 5-11天）。
The mean hospital stay was 6 days (range=5-11 days).
因为浅表伤口感染四名病人必须住院1-2周;但在注射抗生素之后恢复。
Four patients had to be hospitalized for 1-2 weeks due to superficial wound infection; they recovered with injected antibiotics.
在出院后回到工作岗位的平均时间是15天（波动:12-26天）。
The mean time to return to work after discharge from the hospital was 15 days (range = 12-26 days).
术后浅表伤口感染发生率9例（15％）。
Postoperative morbidity involved superficial wound infection in 9 patients (15%).
6llie复发（10％）。 There were six recurrences (10%).
11例（18.3％）皮瓣麻木,和12例（20％）对皮瓣疤痕外观不满意。
Eleven patients (18.3%) had numbness over the flap and 12 patients (20%) were not pleased with the cosmetic appearance of the scars.

结论： CONCLUSIONS:

我们的研究支持:菱形皮瓣使用于那些复发性骶尾部藏毛窦病人，尤其是那些复杂的骶尾部藏毛窦病人，并发现它适用于那些简单手术已经失败的病人Our study favors the rhomboid flap for recurrent sacrococcygeal pilonidal sinus, especially for complex sinuses, and found it suitable for cases where simpler operations have failed.

这种菱形皮瓣手术允许病人早日恢复充分活动，并不需要延长术后护理时间，并具有很低的复发和并发症发生率,但其缺点则涉及一种不太有利的美观.
It allows early return to full activity, does not necessitate prolonged postoperative care, and has very low recurrence and complications rates which may outweigh the disadvantages related to an unfavorable cosmetic appearance.

HUABIN (初译稿)

2011-11-28 07:10

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译文整理如下:

菱形皮瓣用于复发性藏毛疾病之结果

EL Khadrawy ET AL:Outcome of the rhomboid flap for recurrent pilonidal disease.World J Surg. 2009 ,33(5):1064-8.

来源

坦塔大学医院外科,埃及,坦塔 Department of Surgery, Tanta University Hospital, Tanta, Egypt.

------------------------------------------------------------------------------------------------------------------------------------------

摘要

背景：

藏毛窦是一种骶尾部区常见的的慢性疾病。根据这种疾病的临床表现,治疗方法有所不同。虽然已经提出许多手术方法，因为高复发率仍缺乏理想的方法。这种复发性疾病造成显著的发病率，尤其是减少了病人的工作时间。
这项研究的目的,旨在评估菱形皮瓣在促进复发性性藏毛疾病愈合之作用,并评价其发病率和复发率。

方法：
本前瞻性研究包括60例病人,从2000年1月至2006年10月止在埃及坦塔大学医院, 这些复发性骶尾部藏毛窦病人经历了使用一种菱形瓣关闭技术的治疗。随访期6个月至7年不等，平均随访期约2.5年。

结果：
男性46名,女性14例,中位数年龄18岁（波动:16-38岁）。平均住院日6天（波动: 5-11天）。因为浅表伤口感染四名病人必须住院1-2周;但在注射抗生素之后恢复。在出院后回到工作岗位的平均时间是15天（波动:12-26天）。
术后浅表伤口感染发生率9例（15％）。 6例复发（10％）。 11例（18.3％）皮瓣麻木,和12例（20％）对皮瓣疤痕外观不满意。

结论：
我们的研究支持:菱形皮瓣使用于那些复发性骶尾部藏毛窦病人，尤其是那些复杂的骶尾部藏毛窦病人，并发现它适用于那些简单手术已经失败的病人.
这种菱形皮瓣手术允许病人早日恢复充分活动，并不需要延长术后护理时间，并具有很低的复发和并发症发生率,但其缺点则涉及一种不太有利的美观.

HUABIN (初译稿)

2011-11-28 07:16