在高级上腺炎中进行手术干预:系统性审查
Michal Moshkovich1, Edgar Akuffo-Addo2, Emily Volfson1
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Journal of cutaneous medicine and surgery
|November 13, 2025
概括
对于严重的补充性腺炎 (HS) 的手术干预措施各不相同. 激光辅助手术显示HS管理中复发率和并发症率最低.
科学领域:
- 皮肤病学 皮肤病学
- 手术瘤学手术瘤学
- 免疫学 免疫学 免疫学
背景情况:
- 补腺炎 (HS) 是一种慢性,免疫媒介的皮肤疾病,导致疼痛的结节和痕.
- 中度至重度的HS (Hurley II和III阶段) 通常需要手术干预以进行有效的管理.
研究的目的:
- 为了比较Hurley第二阶段和第三阶段的外科干预.
- 评估不同手术方法的复发率,术后并发症和以患者为中心的结果.
主要方法:
- 对MEDLINE和EMBASE数据库进行系统审查.
- 包括136项英语研究 (5,646项手术),报告了HS的手术结果.
主要成果:
- 主要关闭有最高的复发率 (38.0%) 和并发症率 (29.4%).
- 广泛切除显示中度复发 (17.2%) 和高度的美容不满.
- 激光辅助手术表现出最低的并发症 (2.2%) 和复发率 (5.7%).
结论:
- 晚期HS的手术结果因干预类型而异.
- 与初级关闭相比,激光辅助手术和宽切除可能会提供更好的疾病控制.
- 建议对Hurley II和III阶段的HS进行个性化外科规划.
相关概念视频
01:21Inflammatory Bowel Disease V: Surgical Management
430
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
430
01:25Urinary Tract Calculi VI: Surgical Management
344
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
344