中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2011年
9期
799-803
,共5页
Theo Evers%Dietrich Doll%Edouard Matevossian%Sebastian Noe%Konrad Neumann%李挥力%Norbert Hüser%Rainer Ltüdde%Sebastian Hoffmann%Bj(o)rn Dirk Krapohl
Theo Evers%Dietrich Doll%Edouard Matevossian%Sebastian Noe%Konrad Neumann%李揮力%Norbert Hüser%Rainer Ltüdde%Sebastian Hoffmann%Bj(o)rn Dirk Krapohl
Theo Evers%Dietrich Doll%Edouard Matevossian%Sebastian Noe%Konrad Neumann%리휘력%Norbert Hüser%Rainer Ltüdde%Sebastian Hoffmann%Bj(o)rn Dirk Krapohl
藏毛窦%发病率%远期复发率%外科手术%吸烟
藏毛竇%髮病率%遠期複髮率%外科手術%吸煙
장모두%발병솔%원기복발솔%외과수술%흡연
Pilonidal sinus%Incidence%Long term recurrence rate%Surgery%Smoking
目的 调查德国部队中藏毛窦的发病率和术后远期复发率的现状及其发展变化趋势,分析不同手术治疗方法、体格状况和吸烟量等因素对藏毛窦的发病率和术后远期复发率的影响.方法 对德国三家部队医院1980至1996年收治的所有藏毛窦患者的资料进行统计,随机抽取其中500例患者进行随访.结果 德国部队中藏毛窦的发病率由1985年的0.3/1000上升到2007年的2.4/1000.随机抽取的500例患者中2例死亡,498例接受了随访.其术后复发率从1981年的33%,到1986年的23%,再到1996年的12%,呈明显下降趋势(P=0.01).藏毛窦切除后行开放愈合的复发率为16.8%,显著低于行一期缝合的复发率31.0%(P＜0.01).部队中人均体质量每十年增加1 kg,德国国民人均体质量每十年增加1.9kg,但是体质量的增加与藏毛窦复发率之间无显著相关性(P=0.72).每天吸烟20支以上者藏毛窦的复发率比吸烟≤20支者显著升高(P=0.015).结论 在藏毛窦的术后复发率下降,特别是切除后开放愈合的术后复发率下降的同时,藏毛窦的发病率上升了近十倍.
目的 調查德國部隊中藏毛竇的髮病率和術後遠期複髮率的現狀及其髮展變化趨勢,分析不同手術治療方法、體格狀況和吸煙量等因素對藏毛竇的髮病率和術後遠期複髮率的影響.方法 對德國三傢部隊醫院1980至1996年收治的所有藏毛竇患者的資料進行統計,隨機抽取其中500例患者進行隨訪.結果 德國部隊中藏毛竇的髮病率由1985年的0.3/1000上升到2007年的2.4/1000.隨機抽取的500例患者中2例死亡,498例接受瞭隨訪.其術後複髮率從1981年的33%,到1986年的23%,再到1996年的12%,呈明顯下降趨勢(P=0.01).藏毛竇切除後行開放愈閤的複髮率為16.8%,顯著低于行一期縫閤的複髮率31.0%(P＜0.01).部隊中人均體質量每十年增加1 kg,德國國民人均體質量每十年增加1.9kg,但是體質量的增加與藏毛竇複髮率之間無顯著相關性(P=0.72).每天吸煙20支以上者藏毛竇的複髮率比吸煙≤20支者顯著升高(P=0.015).結論 在藏毛竇的術後複髮率下降,特彆是切除後開放愈閤的術後複髮率下降的同時,藏毛竇的髮病率上升瞭近十倍.
목적 조사덕국부대중장모두적발병솔화술후원기복발솔적현상급기발전변화추세,분석불동수술치료방법、체격상황화흡연량등인소대장모두적발병솔화술후원기복발솔적영향.방법 대덕국삼가부대의원1980지1996년수치적소유장모두환자적자료진행통계,수궤추취기중500례환자진행수방.결과 덕국부대중장모두적발병솔유1985년적0.3/1000상승도2007년적2.4/1000.수궤추취적500례환자중2례사망,498례접수료수방.기술후복발솔종1981년적33%,도1986년적23%,재도1996년적12%,정명현하강추세(P=0.01).장모두절제후행개방유합적복발솔위16.8%,현저저우행일기봉합적복발솔31.0%(P＜0.01).부대중인균체질량매십년증가1 kg,덕국국민인균체질량매십년증가1.9kg,단시체질량적증가여장모두복발솔지간무현저상관성(P=0.72).매천흡연20지이상자장모두적복발솔비흡연≤20지자현저승고(P=0.015).결론 재장모두적술후복발솔하강,특별시절제후개방유합적술후복발솔하강적동시,장모두적발병솔상승료근십배.
Objectives To investigate the trends in incidence and long-term recurrence rate of pilonidal sinus disease (PSD) within the German Armed Forces, and analyse the influence of variable factors, such as different surgical methods, body constitution and smoking amount, to incidence and long-term recurrence rate of PSD. Methods Information of all the patients being admitted with primary PSD to the surgical departments of three hospitals of the German Armed Forces between 1980 and 1996 was collected and analyzed ,500 patients of which were interviewed. Results Two of the 500 patients were dead, and every one of the rest 498 patients agreed to take part in the interview. The incidence of PSD rose from 0. 3/ 1000 in 1985 to 2. 4/1000 in 2007. The recurrence rates were decreasing within 16 years of treatment from 33% in 1981 via 23% in 1986 to 12% in 1996 (P = 0. 01). Recurrence rates of primary open wound healing (16. 8%) compared to primary suture (31.0%) differ significantly (P ＜ 0. 01). While the mean body weight within the army rose 1 kg per decade, population shows an increase of 1.9 kg per decade though not being an influencing factor on the recurrence rate (P = 0. 72). Smoking of more than 20 cigarettes per day proved to be a significant factor on the recurrence rate of PSD (P = 0. 015). Conclusion While the recurrence rates-especially of primary open wound treatment-decreased, the incidence of PSD rose nearly tenfold.
