本研究旨在探讨女性患者的藏毛窦疾病(PSD)和多毛症的共存情况。
UNASSIGNED:本回顾性横断面研究评估了2007年1月至2014年5月因PSD接受手术的164名女性患者的人口统计学和临床数据。这项研究收集的数据是年龄,BMI,改良的Ferriman和Gallwey量表(mFGS)用于多毛症,主要症状,手术类型,术后早期并发症(伤口感染,伤口开裂),复发,和后续行动。自变量是多毛症(mFGS评分)和BMI。因变量是术后早期并发症和复发。
未经评估:中位年龄为20岁(中位数为95%CI:19-21岁)。根据BMI,45.7,50.6和3.7%的患者被认为是正常的,超重,肥胖,分别。根据MFGS,11,9.8,52.4和26.8%的患者被认为没有,温和,中度,或者严重的多毛症,分别。14例(8.5%)患者出现复发。6例原发性闭合患者复发,五名Limberg皮瓣患者,两名Karydakis患者,还有一个有袋形的。复发与非复发患者的BMI(P=0.054)和mFGS(P=0.921)无统计学差异。另一方面,发生术后早期并发症的患者的BMI高于未发生术后早期并发症的患者(P<0.001)。
未经证实:PSD不再是“男性唯一的疾病”。BMI增加术后早期并发症的风险,但BMI与复发之间未发现这种关联.PSD与多毛症之间的关系需要前瞻性的多中心研究。
This
study aimed to investigate the coexistence of pilonidal sinus disease (PSD) and hirsutism in female patients.
UNASSIGNED: The demographic and clinical data of 164 female patients who underwent surgery for PSD between January 2007 and May 2014 were evaluated for this retrospective cross-sectional
study. Data collected for this
study were age, BMI, the modified Ferriman and Gallwey scale (mFGS) for hirsutism, main symptoms, type of surgery, early postoperative complications (wound infection, wound dehiscence), recurrence, and follow-up. The independent variables are hirsutism (mFGS scores) and BMI. Dependent variables are early postoperative complications and recurrence.
UNASSIGNED: The median age was 20 years (95% CI for median: 19-21 years). According to the BMI, 45.7, 50.6, and 3.7% of patients were considered normal, overweight, and obese, respectively. According to the mFGS, 11, 9.8, 52.4, and 26.8% of patients were considered to have none, mild, moderate, or severe hirsutism, respectively. Fourteen (8.5%) patients had developed recurrence. Recurrence developed in six patients with primary closure, five patients with Limberg flaps, two patients with Karydakis, and one with marsupialization. There was no statistical difference between recurrent and nonrecurrent patients in terms of BMI (P=0.054) and mFGS (P=0.921). On the other hand, BMI was statistically significantly higher in those who developed early postoperative complications than in those who did not (P<0.001).
UNASSIGNED: PSD is no longer a \'men\'s only disease\'. BMI increases the risk of early postoperative complications, but this association was not found between BMI and recurrence. Prospective multicenter studies are needed on the relationship between PSD and hirsutism.