骶尾部藏毛窦的诊治

骶尾部藏毛窦的诊治 2006??g-?5?u3???ug-?a ?????,?R?N?S??H0???Z???qH2???A???K?????(???,???GH2?v???R ?N?(???S???,????????;????H2???]???f??????;?????9???6?M; ???????????????,???v?????F?p???M?,?S???R???M???.?i???Z ?;?M?T???,?1???t???,???????1?????,?%???????1?%?S?,???N?? ??H0???????1???K?(???,?????????,?9???????,?R?N?????S???? ???{H0?S???????????,?6???w?????????,?,???H?6???N?0???? ??H0???:?M?????????]:?????????B?(???e?1???4??H2?????? ???j?B?,?????????e?????????o?????B?1???4???m???????5 ?l[[51H0?????]??TC,TGH2?j???0?????F?1???????m?,???Z??TC ?????m???w?K??[[6]H0?v?????1?{?b???e?l?:?v???g?m?????? ?????1???B?????e???????5?l???m[[7lH0???????1?{?l?:???? ?8???R???????0?????m???j?B?,?????0?????m???????????o?, ?R???0?m?m?N?Z?????(?)?7?H???1????[[81H0?????G?,?????? ???3?????0?N???1?????????0???mH0?????v?Z???????????0 ?????(?5?????1???g???1H2?????N?????z?????m?,???6???N???, ?????N?0[[9]H0?????y???????H?,?????N?Z???????C???,?????? ?????0?????,???????????0?????b??HMgVH0HJH0 ?R???,???0???????????r?5?Z?R???:???????,???r?5???? ???:?M???????,?????5?:H0?S???b?????????]?,?????0???m?] ?K?4???0?????F?,?M???]?K?G??????H0 ???6???h 1??????.??????HMM].?u5?{.?)??:???8???a???{?K?,2000,830 2???????,?????,?G????.???.???2?Z???????1???C???b??????HlJJ.?Z ???R???5?W???,1986,6(11):682??684 3???????,???j?0?,?b?L??.???w???8???N?]???y???;?N?0??????HlJ]. ?Z???Z?R?t??,2003,6(12):504 4???-?a?,???????,?{????.???1???O???(?e?ggD????gD???:?M???] VSMC???????????????????e?M??HlJ].?Z???R???5?W???,2004,24 (3):234??239 5???1??.?????]???0?N???,???1???(???0????HMJ].?Z???R???5?W???, 1981,1(2):144??115 6?????,???r???,????.???x???0?N???n???????l???E?{?????0?N???? ?L??[J].?E?p?R?????????,1998,23(1):70??72 7???S???,?n?????,???g??.?v?????????:???mHMJ].?Z?????,1991,22 (1):20??21 8??????.?????F???????0?N?????{????HlJ].?Z???R???5?W???,1989,9 (8):484??485 9???7?8.???v?g?????]?????????1???N?G???e?f???b??????H,J].?Z ???Z?R?t???,2002,3(11):183 10???????,?????,???I.???0?N???Z???R???5?M??????HlJ].?Z?R?W???, 1992,33(8):53 ???K?????????????? ?g?Y?8?,???????,?{?]z?4?g???,(1H0???)?2?????R?????k???R?????(??????071000;2.???)?2?????0?????R??) Hl????H8???????????K????????????????????????H0?????????:??1995-2004???B????17?????K???????????????b ???k??H0???????????????G???a???K???a???,??4???m??????????????H017???F?????A?????,?A?]???:?????w?0???e???????,?? ??????1-8???,?F???G??H0???????K???????????.?????,?A???????????????????g???,?]?????A?6???,???????A?[???A?R?????? ????H0 Hl???h??H8??????;???A Diagnosisandtreatmentofsacrococcygealsinus(ZhangAiminHeYunliangLiuSufenDepartmentofGeneralSurgery,the affiliatedHospitalofHebeiMedicalContinuingEducation,Baoding,071000China) 1Abstract]ObjectiveTostudythediagnosisandtreatmentDiagnosisandtreatmentofsacrococcygealpilonidalsinus.Methods 17casesofsacrococcygealpilonidalsinusfrom1995to2004wereanalyzedretrospectively.Results15casessufferedfromrecurrent sacrococcygealabscesss,Allthelesionswereradicallyresectedandnorecurrencewaspresentbyt??8??yearfollowup.Pathologicaldi- agnosisshowedforeignbodygranuloma.ConclusionSacrococcygealpilonidalsinusisliabletobemisdialgnosed;contrastexamination insinuswithmeglucaminediatrizoateshouldbemadebeforeopration;radicallresectionistheprincipalmethodtodealwithsacrococcy- gealpilonidalsinus. [Keywords]Pilonidal;Operation ???????b?????8???,??1995-2004???,?8????????????1.2?????????A???j?????????????????g???,?????????? ??17???,?????]???,???{???7?,?????????C:???6??H2?????????8?,???????A?6??H010?????????N???C?? 1?k???]?????A?,7???B?????m?????(?????C???????AH0???A???n???????? 1.1???u?k???u??17???,?O14???,??3???,????15-45?[???;???????m???????e???e???a?????,???W?D?5H0?A?]?N ???,???F????30??H0?u??15???????K?????G?.?????l???b???:???????????m?????gH0 ???Y???,????1-6??H013?????????K???.???m?(?????[???J2???? ?U?A?,???A?n?????S?;??12?nH01???b?1???????C?,??1????7???[??I?a?5?5?,10??II?a?5?5H0???:?????????0?? ?e?(?F????????H0????:17???????F???????????????]???Z?e??????H0?A?]????1-8?????G??H0 ?3?,10???11?c?(???,4???12?c?(???,2???13?c?(???,1???13???? 4?c?(??H0?N?1?????F?c???????,?????[?????c???????o???????????A?????8???????,1830??MayH0???{?l???????? ??H0???????????????????8?b????H04???????m?????????????,1880??Hodge:???{???G??H0???????A?m???K?????????? ????H0???????????????e?????(?????,?????????A???????,?b?????8 28?R?????S?k??MEDICINEINDUSTRY 2006??2?5?u3???u6?agM???????? ??H0?????????w???K???t?e?.???,???b?]???l???e?????,?(?????????????????????o?O???????,???????]???????yH0 ???5?5?,???????b?,?????????G????H0???????b?????????,?? ?????a?,?j?y???[??H0???m???a?]?????????,?/?S?m???t?a?] 20??30?????a?,???????0???R???????,??????????H0?u???S?? ???Z??????H2?S??H220-30?????????O?e[[21H0?u??15?????? ?1???K???.?????G???b????H0?u???????w?B?S?c?????]???, ?S?????;???w?,?????A?????????e?????,?????????????????? ?????,???y?A?S?????O?e?,?????Z?????8???????w???k?????? ???,???l???????,?????Y?x?]?,???????????????a???J???j?? ?????l????H0?????????????C?0?????l?w?0???,?????1???? ?a???,?????l???e?a???(?.???,?????G?.?5?5H0???1???;???w ?????A?????{?f?e?????,?Y???{?f?e?T?????????(?{?f?e?? ???????N???,?????????????????????w???????T?????m???? ???4?%H0???B?:???T?????????????????(?.???????????,?u ??17???Z?,??4???A?Z????????H0?A?r???m???C???g?S???/ ??:(1)?????1???????.????????????H0(2)17???Z4???w?u ???n???A?,13???????1???81?n???A??H0???????A???[???? ?.????????????;(3)???????????8?,?A?Z???????WH0?????? ???j?????w???K?????G?.???,?S???????b?????l?????,?]???f ???????.?????.????H0?u???113?????????K???.???m?(?? ???[???J?U?A?,???A?n?????S?;??12?nH0???????N???????S ?m?????3?,?????j?8?b?????,?,?M???u?????????1?????,?j?G ?u???R?????????A?????,?/?1???????V?????,?????????? ???]???????A?,???????.?????[???J?U?,???:?????????????? ?????;???,???????5H0???.?????7?,?a???????N???,?????????[ ???????,?d??I?a?D?5H0?1???;???m?[??H2?h???????????u???, ?????????A?????,?d???7?,???????j?????S?,???5??????????H0 ?/?1???????????????,???A?G?????,?G??????[[3]H0?M?;???w?? ?G?b?a???????K?????????,?????1?????(?????6?????7?,?F?? ??I?a?[???D?5?AH0?????????6???e?,?1???S?????????????? ???,???????????[?????:?D?5?AH0?[???????????,?e???:?d??I ?a?5?5?,?Z???????:?d???Y?????????%?????,???5???????,???? ???;????H0Azab?????S?????????G?????????????[???]???L ???w???,?/???????.???a?a???(?????,?{?????G???7[[510 ???6???h 1?????l.???K????????.?Z?????????W???,1985,5(1):36 2HullTL,WuJ.PilonidalDisease.SurgClinNorthAm,2002,(6): 1169??1185 MclarencaPartialclosureandothertechniquesinpitonidalsurgery: anassessmentof157cases.BrJSurg,1984,71(7):561??562 Pivakh,BrooksVL,NussbaumM,etal,Treatmentofchronicpi- lonidaldisease.DisColonRectum,1996,39(10);1136??1139 AzabAs,KamalMS,SaadRA,etal.Radicalcureofpilonidalsinus byatransposeitionrhomboidflap.BrJSurg,1984,71(2):154??155 ?I??A?????.???e??????27???b???:?? ?????[(?????2?p???0?u?????8?R?????????p??045000) Hl????H8???????m?I??A?????.???e??????H0??????27???.???e?????????;?,?1???b???G?,???:??(?N?????????? ??)?,?:?y?????G?,?W???I??A(????????)???????????????(H2?????{???????:??H0??????27???.???e?????????;???,?a?Y ????????????????2.1%?,???m?I??A?????.???e???????,???Z??????5?????F?????????w12???,?N????22?????F?????????w 9??H0?N?1???;????????85.18%aH0?m????2??????????????????H2????H2?Y?????G???????N?1???;???C???G?,????H0???Z4?? ???I??A???2?W??????10mg/d???,?????G??H0?????I??A?????.???e???????1?K?????{H0 Hl???h??H8?I??A;?.???e??????;?b???:?? ClinicalanalysisofAcitretinin27patientswithPsoriasispustulosa(WangBa ochongDepartmentofDermatology,Yangquan No.1PeopledHospital,Yangquan,045000China) [AbstractH8ObjectiveTostudytheefficacyofAcitretininPsoriasispustulosa.MethodsAccordingtoclinicalaspect,27ca- sesweredividedintodifferenttypes.Theyweretreatedbydifferentdose,atthesametimethechangeofsymptomanditseffectwere analyzed.Results27casesoccupied2.1%percentoftotalpatientswithPsoriasispustulosaduringthestudyperiod.Theaveragetime oftreatmentis12weeksforabroadtypeandthatoflimitationtypeis9weeks.Inallofpatients,theskinlesionwererestored85.18%. Sideeffectmayappearedat2weeks,suchasxerodermia,pruritusandexfoliationetc.In4casesoutofthesecases?,whenthedosage ofAcitretindecreasedIOmg/d,skinlesionrelapsed.ConclusionToapplyAcitretinmayacquiregoodresults. [KeywordsIAcitetin;Pustularpsoriasis;Clinicalanalysis ?.???e???????A?N???e?(?????e?????e?.???w?R?????? ????????????????H0??2003??4?5?M?;???.???e???????? ?m?I??A????(????????)?????????B???????1???????a??H0 ???:2003??4?5??2005??8?5???????????k?????????3?? ?.???e??????27???????b???:??H0 ?k???]???? ???u?k??27?????;?F?w?8?????????Y???????,?b???? ???????r?5?.???e??????????????HMg4HJH0???:???????????:H2 ???????a???????????????????????y????H0?N?1???;?Y?R?? ???????????????????,?R???;??:???u????H2????H2?e?yH2???CH2 ????H2??????H2????????????????????????H0 1.2?????????u??27???.???e?????????;?,?m???????t ?P???????1?[???,?:?1???I??H2????H2????H2?????Z?????5???? ?;???I???????m?(?,???????a?????????????g????(??)?,?:?y ?m????????????8???]??????????H2?N?0H0?:?y?1?G?,?:?? ?????G?,?W???,???????????I??A30mg??75mg/d;?N?????? ???I??A20mg-50m??d???GH0 1.3???{?d???[?????5:?.????????H2???????????????? MEDICINEINDUSTRYINFORMATION?R?????S?ki{l29