PDF(Pubmed)
Abstract：
Pilonidal sinus disease (PSD) is a common condition associated with significant morbidity and healthcare costs. High recurrence rates still pose a considerable challenge in managing PSD, with no universally accepted guideline in place to guide management. Laser hair epilation offers a way to reduce recurrence rates with reports within the current literature demonstrating positive outcomes compared to alternative approaches. This review was conducted by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement standards. The primary outcome measure was the recurrence rate of PSD at a minimum of one year following laser hair epilation. The electronic databases of MEDLINE, EMBASE, CINAHL, Google Scholar, PubMed, and Cochrane Central Register of Controlled Trials (CENTRAL) were searched. OpenMeta Analyst (Brown University School of Public Health, Providence, RI) software was used for data synthesis. Three randomized controlled trials met the inclusion criteria with laser hair epilation treatments offering a significant reduction in PSD recurrence rates on odds ratio analysis: 0.319 ( 0.160, 0.636), P-value = 0.0001. Secondary outcomes involving patient disability days, caregiver disability days, health-related quality-of-life (HRQOL) scores, healthcare satisfaction scores, and perceived stigma were discussed qualitatively. The authors offer a decisive recommendation in favor of laser hair epilation in PSD; however, they recommend further high-quality trials to investigate the ideal timing and frequency of laser hair epilation sessions.
摘要：
鼻窦病（PSD）是一种常见的疾病，与严重的发病率和医疗费用有关。高复发率在管理PSD方面仍然构成相当大的挑战，没有普遍接受的指导方针来指导管理。激光脱毛提供了一种降低复发率的方法，目前文献中的报告表明与替代方法相比具有积极的结果。这项审查是根据系统审查和荟萃分析（PRISMA）声明标准的首选报告项目进行的。主要结果指标是激光脱毛后至少一年的PSD复发率。MEDLINE的电子数据库，EMBASE,CINAHL,谷歌学者，PubMed,并检索了Cochrane中央对照试验登记册(CENTRAL)。OpenMeta分析师(布朗大学公共卫生学院，普罗维登斯,RI)软件用于数据合成。三项随机对照试验符合激光脱毛治疗的纳入标准，通过比值比分析显着降低PSD复发率：0.319（0.160，0.636），P值=0.0001。次要结果涉及患者残疾天数，照顾者残疾日，健康相关生活质量（HRQOL）评分，医疗保健满意度得分，并对感知的污名进行了定性讨论。作者提出了决定性的建议，支持PSD中的激光毛发脱毛；然而，他们建议进一步开展高质量试验,以研究激光脱毛的理想时机和频率.
