Hidradenitis suppurativa: Importance of early treatment; Efficient treatment with electrosurgery
Hidradenitis suppurativa: Importance of early treatment; Efficient treatment with electrosurgery
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DOI：
10.1111/j.1524-4725.2007.34042.x
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发表时间：
2008-02-01
影响因子：
2.4
通讯作者：
Adisen, Esra
中科院分区：
文献类型：
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作者：
Aksakal, A. Burhan;Adisen, Esra
化脓性汗腺炎对医生和患者来说都是一种具有挑战性的疾病。已经采取了许多成功率不同的手术和医疗方法。早期和适当的干预是一个因素，显着提高治疗的成功率的disease. ObjectiveThis研究进行了评估的有效性，电外科治疗早期化脓性汗腺炎。材料和方法本研究包括12例患者，年龄在29和38岁之间（平均年龄34岁），诊断为化脓性汗腺炎I级（n=9）或II级（n=3）。手术方法包括切除结节和鼻窦的区域，直到皮下脂肪组织的水平，并留下手术缺损进行二次愈合。12例患者中有10例（83%），30处病变中有26处（86%）在平均16天（范围15 - 21天）内观察到治愈。2例II级患者的4个病灶发生感染，需要短期抗生素治疗。结论电外科手术治愈率高，可减少其他全身治疗的需要。我们的研究结果表明，电外科手术应被视为化脓性汗腺炎治疗算法的首选方案。
BACKGROUND Hidradenitis suppurativa is a challenging condition, both for the physicians and for the patients. Many surgical and medical approaches with different success rates have been undertaken. Early and appropriate intervention is a factor that significantly increases the success rate of the treatment of the disease.OBJECTIVE This study was conducted to evaluate the efficiency of electrosurgery treatment in early hidradenitis suppurativa.MATERIALS AND METHODS This study comprised 12 patients aged between 29 and 38 years (mean, 34 years) with a diagnosis of hidradenitis suppurativa Grade I (n=9) or Grade II (n=3). A surgical method consisted of excision of the areas with nodules and sinuses, up to the level of subcutaneous fat tissue, and leaving the surgical defect for secondary healing.RESULTS All patients completed the study. In 10 of 12 (83%) patients, 26 of 30 (86%) lesions, cure was observed in a mean of 16 days (range 15 to 21 days). Four lesions in 2 patients with Grade II became infected and required a short course of antibiotic therapy.CONCLUSION Electrosurgery will decrease the need for other systemic treatments, owing to its high cure rates. Our results showed that electrosurgery should be considered a top alternative in the treatment algorithm of hidradenitis suppurativa.