CAJ | 학술논문

目的探讨藏毛疾病的病因、诊断及治疗.方法回顾分析我院自2002年5月至2008年5月收治的32例藏毛疾病相关临床资料.结果 27例为藏毛窦,内见毛发;5例为藏毛囊肿,未见毛发.29例切口一期愈合.2例切口色泽黑紫,拆除切口部分缝合线,局部加强换药后痊愈.1例因术后活动不当,切口裂开,二次缝合创面,局部换药后痊愈.术后病理学检查结果 :27例为被覆鳞状上皮,部分淋巴细胞浸润,肉芽肿样组织,内见毛发.5例为纤维结缔组织内血管扩张,并见少量炎细胞浸润.术后随访8个月～4年,未见复发.结论藏毛疾病容易误诊,术前应完善相关辅助检查.明确诊断后,治疗以手术切除为主.
목적 탐토장모질병적병인、진단급치료.방법 회고분석아원자2002년5월지2008년5월수치적32례장모질병상관림상자료.결과 27례위장모두,내견모발;5례위장모낭종,미견모발.29례절구일기유합.2례절구색택흑자,탁제절구부분봉합선,국부가강환약후전유.1례인술후활동불당,절구렬개,이차봉합창면,국부환약후전유.술후병이학검사결과 :27례위피복린상상피,부분림파세포침윤,육아종양조직,내견모발.5례위섬유결체조직내혈관확장,병견소량염세포침윤.술후수방8개월～4년,미견복발.결론 장모질병용역오진,술전응완선상관보조검사.명학진단후,치료이수술절제위주.
Objective To explore the clinical manifestation, diagnosis and treatment of pilonidal disease. Methods The clinical data of 32 cases from 2002 to 2008 were analyzed retrospectively. Results Twenty-eight of the 32 cases were male. All patients were from 18 to 62 years old. Twenty-Seven of 32 cases were pilonidal sinus and had hair in the fistular. 5 was pilonidal cyst without hair. All the lesions were radically cut off and no recurrence was present during 8 months to 4 years' follow up. Conclusion Pilonidal disease is easy to be misdiagnosed. Com-plete evaluation should be made before operation