Surgical Treatment of Hidradenitis Suppurativa: Experiences and Recommendations
Surgical Treatment of Hidradenitis Suppurativa: Experiences and Recommendations
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DOI：
10.1111/j.1524-4725.2010.01763.x
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发表时间：
2010-12-01
影响因子：
2.4
通讯作者：
Szepietowski, Jacek C.
中科院分区：
文献类型：
--
作者：
Bieniek, Andrzej;Matusiak, Lukasz;Szepietowski, Jacek C.
目的描述我们自己的手术技术，伤口闭合在耻骨和腋窝区域的治疗化脓性汗腺炎（HS），并分析外科手术的并发症，耐受性和影响复发率的因素。方法1999年和2009年之间，118例手术进行了57例HS。手术方法包括局部切除病变组织和不同的伤口闭合方法，包括我们自己设计的“星形”技术和“耻骨瓣”。手术后3个月评估治疗耐受性，24个月后评估疗效。44例（77.2%）患者对手术和术后期间表现出良好的耐受性，而只有1例（1.8%）患者报告耐受性不满意。在所有患者中，51例（89.5%）表示愿意在病变复发的情况下接受额外手术。在2年随访期间，34例（59.7%）患者完全恢复，18例（31.6%）患者部分恢复，5例（8.8%）患者无改善。复发率的影响因素是HS病变和疾病duration. CONCLUSION HS的手术治疗是有效的，耐受性良好的皮肤面积。在选定的病例中，我们自己的手术伤口闭合技术加速了愈合并改善了结果。作者表示对商业支持者没有明显的兴趣。
OBJECTIVETo describe our own surgical techniques of wound closure in pubic and armpit areas in the treatment of hidradenitis suppurativa (HS) and to analyze surgical procedures performed with regard to complications, tolerance, and factors influencing recurrence rate.METHODSBetween 1999 and 2009, 118 operations were performed on 57 patients with HS. Surgical procedures included local excision of involved tissue and different methods of wound closure, including those of our own design such as the "star-like" technique and "pubic flaps." Treatment tolerance was evaluated 3 months after surgery, and efficacy was evaluated after 24 months.RESULTSForty-four (77.2%) patients showed good tolerance of the operation and during the postoperative period, whereas only one individual (1.8%) reported unsatisfactory tolerance. Of all patients, 51 (89.5%) expressed willingness to undergo additional surgery in the event of lesion recurrence. During the 2-year follow-up period, complete recovery was observed in 34 (59.7%) patients, partial recovery in 18 (31.6%), and no improvement in five (8.8%). Factors influencing recurrence rate were number of skin areas affected by HS lesions and disease duration.CONCLUSIONSurgical treatment of HS is effective and well tolerated. In selected cases, our own techniques of surgical wound closure accelerated healing and improved results.The authors have indicated no significant interest with commercial supporters.