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題 名 | Wide Excision with Secondary Intention Healing: Proper Procedure for Nonextensive Gluteal Hidradenitis Suppurativa=廣泛切除併二級癒合:一種對臀部大汗腺炎適當的治療方式 |
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作 者 | 陳家輝; 吳昌杰; 謝宗保; 鄭明芳; 歐金俊; 饒樹文; 蕭正文; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 18:1 2007.03[民96.03] |
頁 次 | 頁1-8 |
分類號 | 415.65 |
關鍵詞 | 膿瘍; 大汗腺; 大汗腺炎; 傷口癒合; 廣泛切除; Abscess; Apocrine glands; Hidradenitis suppurativa; Wound healing; Wide excision; |
語 文 | 英文(English) |
中文摘要 | 目的:大汗腺炎是一種慢性疾病,通常表現出膿瘍、瘻管、及結疤。它好發於身體有大汗腺的部位。因為許多病人對內科治療無效且長期為此病痛所苦,我們試圖找出治療大汗腺炎較好的手術方法。 方法:從1996 年8 月到2006 年8 月,152 位臀部大汗腺炎病人接受手術治療。我們從病歷資料來統計分析病人之手術治療方法及結果。本院之手術方法分為三種,包括56 位病人切開引流、42 位病人切除併縫合、54 位病人廣泛切除併二級癒合。手術的範圍根據病人之臨床狀況及病兆大小而定。 結果:病人平均年齡為29.6 歲。平均追蹤時間為36 個月,我們發現有49 病人復發 (32.2%)。切開引流後有32 位病人復發 (32.2%) ,切除併縫合後有8 位病人復發 (19.0%), 廣泛切除併二級癒合後有9 位病人復發 (16.7%) 。切開引流後平均傷口癒合時間為1.1 個週,切除併縫合後平均傷口癒合時間為2.4 個週、廣泛切除併二級癒合後平均傷口癒合時間為7.3 個週。 結論:臀部大汗腺炎是一種慢性、易復發的疾病,而且常引起疼痛、嚴重合併症、及自我孤立。我們的研究顯示不完全切除大汗腺炎是造成復發的主因,而且廣泛切除併二級癒合對大部分病人有較好的預後。 |
英文摘要 | Purpose: Hidradenitis suppurativa (HS) is a chronic disease that presents with abscesses, odiferously draining sinus tracts, and scarring. It arises most commonly, but not exclusively, from apocrine-gland-bearing areas. Because many patients do not respond to medical therapies, with progressive disability, we undertook to determine the most appropriate operation for gluteal HS. Methods: We studied 152 patients with gluteal HS who had undergone surgical treatment from August 1996 to August 2006. Charts were reviewed for demographic, treatment, and outcome data. The operative procedures were divided into drainage procedures (n = 56), excision with primary suture (n = 42), and wide excision with secondary intention healing (n = 54). The extent of surgery was examined in terms of clinical course and lesion size. Results: The mean age at presentation was 29.6 years. At a mean follow-up of 36 months, local recurrent HS had developed in 32.2% of patients. There was 57.1% recurrence after drainage, 19% after excision with primary suture, and 16.6% after wide excision with secondary intention (p < 0.05). The wound-healing period was 1.1 weeks after drainage, 2.4 weeks after excision with primary suture, and 7.3 weeks after wide excision with secondary intention healing (p < 0.05). Conclusions: Gluteal HS is a chronic relapsing disease that frequently causes disabling pain, significant morbidity, and social isolation. In our study, inadequate excision was the main reason for recurrence, and wide excision with healing by secondary intention provided a good prognosis in most cases. |
本系統中英文摘要資訊取自各篇刊載內容。