国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
4期
402-404
,共3页
刘春安%徐飞鹏%刘杨桦%黄哲%黄永红%林琳%冼沛中%许庆文%李有柱
劉春安%徐飛鵬%劉楊樺%黃哲%黃永紅%林琳%冼沛中%許慶文%李有柱
류춘안%서비붕%류양화%황철%황영홍%림림%승패중%허경문%리유주
骶尾部潜毛窦%临床特点%手术治疗
骶尾部潛毛竇%臨床特點%手術治療
저미부잠모두%림상특점%수술치료
Sacrococcygeal pilonidal sinus%Clinical features%Surgical treatment
目的 探讨骶尾部潜毛窦的临床特点及治疗方法.方法 回顾性分析我院收治的10年来28例骶尾部潜毛窦的诊治情况,参阅相关文献.结果 28例患者均经手术和相关辅助检查证实为骶尾部潜毛窦,本组患者临床特点:骶尾部反复流脓,并遗留位于骶尾部靠中线部的窦道口,部分患者窦道内含有毛发,泛影匍胺造影显示窦道不与直肠相通,与骶尾骨亦无关系.术前诊断或考虑该病者18例,经手术而治愈.结论 骶尾部潜毛窦发生率低,临床医生容易误诊,窦道造影对明确诊断非常有意义,手术治疗是唯一能根治的方法,具体术式需根据窦道情况决定.
目的 探討骶尾部潛毛竇的臨床特點及治療方法.方法 迴顧性分析我院收治的10年來28例骶尾部潛毛竇的診治情況,參閱相關文獻.結果 28例患者均經手術和相關輔助檢查證實為骶尾部潛毛竇,本組患者臨床特點:骶尾部反複流膿,併遺留位于骶尾部靠中線部的竇道口,部分患者竇道內含有毛髮,汎影匍胺造影顯示竇道不與直腸相通,與骶尾骨亦無關繫.術前診斷或攷慮該病者18例,經手術而治愈.結論 骶尾部潛毛竇髮生率低,臨床醫生容易誤診,竇道造影對明確診斷非常有意義,手術治療是唯一能根治的方法,具體術式需根據竇道情況決定.
목적 탐토저미부잠모두적림상특점급치료방법.방법 회고성분석아원수치적10년래28례저미부잠모두적진치정황,삼열상관문헌.결과 28례환자균경수술화상관보조검사증실위저미부잠모두,본조환자림상특점:저미부반복류농,병유류위우저미부고중선부적두도구,부분환자두도내함유모발,범영포알조영현시두도불여직장상통,여저미골역무관계.술전진단혹고필해병자18례,경수술이치유.결론 저미부잠모두발생솔저,림상의생용역오진,두도조영대명학진단비상유의의,수술치료시유일능근치적방법,구체술식수근거두도정황결정.
Objective To investigate the clinical features and treatment of sacrococcygeal pilonidal sinus. Methods A retrospective analysis of 28 patients with sacrococcygeal pilonidal sinus from 2000 to 2010 in our hospital was carried out, referring to the relevant literature. Results 28 patients with sacrococcygeal pilonidal sinus were confirmed by surgery and relevant ancillary diagnosis. Clinical characteristics of patients in this group: discharged pus again and again from sacrococcygeal, and left the sacrococcygeal sinus. Some patients contained hair in sinus. Sinus angiography showed no reaching to rectum, there is no relationship with sacrococcygeal bone. 18 patients were diagnosed as the disease before operation, and cured by surgery. Conclusion The diseases were misdiagnosed easily by clinicians because of low incidence.Sinus angiography is very meaningful in diagnosis. Surgery is the only radical way. Specific: operation method should follow the sinus circumstances.
