三种不同手术方式对藏毛窦治疗的案例分析及比较研究

A Case Study and Aomparative Study of Three Different Surgical Modalities for the Treat-ment of the Hidden Hair Sinuses

摘要: 目的：加强对藏毛窦诊治分析，提高治疗水平。方法：从2020年至今，我科收治藏毛窦患者13余例，多见于青春期多毛男性，年龄分布在20~35岁；分手术治疗和非手术治疗。我科主要采用手术治疗，有以下几种手术方式分享：切除开放术；limberg的皮瓣成形术；bascom臀沟抬高术(分bascom I术式和bascom II术式)。评价藏毛窦手术的好坏指标有：第一：治愈率和复发率；第二：手术中的组织损伤；第三：手术的复杂程度；第四：围手术的痛苦程度；第五：需要住院和学习工作的时间；第六：手术的完全愈合需要的时间；第七：经济性。结论：bascom臀沟抬高术相比其他手术方式，能够缩短住院日，加速患者的康复，减少经济费用。

Abstract: Objective: To strengthen the analysis of Tibetan hairy sinus diagnosis and treatment, and improve the level of treatment. Methods: From 2020 to now, our department has admitted more than 13 cases of patients with hidden hairy sinus, most of them are seen in adolescent hirsute males, with the age distribution of 20~35 years old; they are divided into surgical treatment and non-surgical treatment. Our department mainly uses surgical treatment with the following surgical modalities shared: excision open surgery; limberg’s flap plasty; bascom buttock groove elevation (divided into bascom I and bascom II styles). Indicators for evaluating the goodness of the hidden hairy sinus surgery are: first: cure rate and recurrence rate; second: tissue damage during the surgery; third: complexity of the surgery; fourth: degree of perioperative pain; fifth: time required for hospitaliza-tion and study and work; sixth: time required for complete healing of the surgery; and seventh: economy. Conclusion: The bascom gluteal groove elevation reduces hospitalization days, accelerates patient recovery, and reduces economic costs compared to other surgical procedures.