PDF(Pubmed)
Abstract：
Non-excisional techniques for pilonidal sinus disease (PSD) have gained popularity over the last years. The aim of this study was to review short and long-term outcomes for non-excisional techniques with special focus on the additive effect of treatment of the inner lining of the sinus cavity and the difference between primary and recurrent PSD. A systematic search was conducted in Embase, Medline, Web of Science Core Collection, Cochrane and Google Scholar databases for studies on non-excisional techniques for PSD including pit picking techniques with or without additional laser or phenol treatment, unroofing, endoscopic techniques and thrombin gelatin matrix application. Outcomes were recurrence rates, healing rates, complication rates, wound healing times and time taken to return to daily activities. In total, 31 studies comprising 8100 patients were included. Non-excisional techniques had overall healing rates ranging from 67 to 100%. Recurrence rates for pit picking, unroofing and gelatin matrix application varied from 0 to 16% depending on the follow-up time. Recurrence rates after additional laser, phenol and endoscopic techniques varied from 0 to 29%. Complication rates ranged from 0 to 16%, and the wound healing time was between three and forty-seven days. The return to daily activities varied from one to nine days. Non-excisional techniques are associated with fast recovery and low morbidity but recurrence rates are high. Techniques that attempt to additionally treat the inner lining of the sinus have worse recurrence rates than pit picking alone. Recurrence rates do not differ between primary and recurrent disease.
摘要：
在过去的几年中，针对毛发窦疾病（PSD）的非切除技术已越来越受欢迎。这项研究的目的是回顾非切除技术的短期和长期结果，特别关注窦腔内壁治疗的累加效应以及原发性和复发性PSD之间的差异。在Embase进行了系统的搜索，Medline,WebofScience核心合集,Cochrane和GoogleScholar数据库，用于研究PSD的非切除技术，包括带有或不带有额外激光或苯酚处理的凹坑拾取技术，拆除屋顶,内镜技术和凝血酶明胶基质的应用。结果是复发率，治愈率,并发症发生率,伤口愈合时间和恢复日常活动所需的时间。总的来说,包括8100名患者的31项研究。非切除技术的总体治愈率为67％至100％。取坑的复发率，根据后续时间，去屋顶和明胶基质的应用从0到16％不等。附加激光后的复发率，苯酚和内镜技术从0到29%不等。并发症发生率从0到16%不等,伤口愈合时间在3到47天之间。恢复日常活动的时间从一到九天不等。非切除技术与快速恢复和低发病率相关，但复发率高。尝试额外治疗鼻窦内衬的技术比单独进行凹陷摘除的复发率更差。原发性疾病和复发性疾病之间的复发率没有差异。
