Objective To explore the clinical manifestation, diagnosis and treatment of pilonidal disease. Methods The clinical data of 32 cases from 2002 to 2008 were analyzed retrospectively. Results Twenty-eight of the 32 cases were male. All patients were from 18 to 62 years old. Twenty-Seven of 32 cases were pilonidal sinus and had hair in the fistular. 5 was pilonidal cyst without hair. All the lesions were radically cut off and no recurrence was present during 8 months to 4 years' follow up. Conclusion Pilonidal disease is easy to be misdiagnosed. Com-plete evaluation should be made before operation%目的 探讨藏毛疾病的病因、诊断及治疗.方法 回顾分析我院自2002年5月至2008年5月收治的32例藏毛疾病相关临床资料.结果 27例为藏毛窦,内见毛发;5例为藏毛囊肿,未见毛发.29例切口一期愈合.2例切口色泽黑紫,拆除切口部分缝合线,局部加强换药后痊愈.1例因术后活动不当,切口裂开,二次缝合创面,局部换药后痊愈.术后病理学检查结果 :27例为被覆鳞状上皮,部分淋巴细胞浸润,肉芽肿样组织,内见毛发.5例为纤维结缔组织内血管扩张,并见少量炎细胞浸润.术后随访8个月～4年,未见复发.结论 藏毛疾病容易误诊,术前应完善相关辅助检查.明确诊断后,治疗以手术切除为主.
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