В.Л. ДЕНИСЕНКО Эпителиальные копчиковые свищи

.
ОПЕРАТИВНОЕ ЛЕЧЕНИЕ ЭПИТЕЛИАЛЬНЫХ КОПЧИКОВЫХ СВИЩЕЙ
«
»,
.
–
-
.
–
,
.
3-
,
.
0,1%,
0,5%.
:
,
The treatment tactics of epithelial coccygeal fistulas is presented in the article; the most effective
ways of the operative treatment are described. It is recommended to use the one-phase method of treatment
– to excise fistulas and to carry out plasty at once in case when fistulas are without the signs of inflammation.
In case of abscess formation the two-stage method should be used – at the 1st stage the abscess is
dissected, at the 2nd stage a radical surgery is carried out. The technique of 3 stages of radical surgeries is
described, indications which permit to choose an optimal variant are determined. The suggested differential
operative tactics allows reducing the complications number up to 0,1%, the recurrences – up to 0,5%.
Keywords: epithelial coccygeal fistula, operative treatment
[1, 2, 3, 4, 5].
–
)
-
,
,
1833)
(M
170
,
,
-
[1].
-
,
.
,
,
-
12,5%
.
,
.
.
,
-
,
,
,
-
,
.
126
1 2009
17
. 1.
1-
(1
.
; 2-
)
. 2.
(2
). 1-
; 2-
.
.
,
-
3%.
.
,
-
.
–
,
.
1
.
-
0,5
.
(Sol.
-
Lidokaini 2%).
.
.
8–9
.
.
.
.
.
-
.
,
,
.
.
0,8–1
-
,
.
127
.
-
,
2–3
,
,
.
.
2
(
-
.
. 1).
.
,
-
3
.
(
.
2
.
. 3, c .
-
).
-
(
,
. 4, c .
).
.
-
,
(
.
-
,
. 5, c .
).
-
-
.
.
.
.
.
,
,
.
.
-
,
,
(
. 6, c .
).
.
-
,
0,5
.
,
-
,
.
.
USP 2.
1,5–2
(
. 2).
-
-
,
.
,
,
,
-
.
,
-
,
,
.
,
2
.
128
,
.
1 2009
17
.
-
.
(
,
3-
-
).
-
.
.
,
.
.
..
.
1
1,5–2,0
..
.
..
.
:
,
;
;
;
;
.
2
1,5–2,0
:
:
1)
2)
3)
;
4)
;
;
.
.
;
.
,
,
.
3
3
-
–
;
6–7
.
.
.
..
10–11
-
:
.
2–
-
;
,
–
;
.
-
,
-
6–7
.
;
,
;
,
.
.
-
,
,
.
.
.
-
,
129
.
,
-
.
,
-
.
8
.
280
.
-
,
0,1%,
0,5%.
-
.
.
3-
.
-
.
.
-
,
.
1.
. .
– 125 .
2.
,
. .
, . .
, .
.–
/
, 1988.
:
.
/
(
,
,
),
-
.
-
.
,
.
.
.
, . .
//
.
.
– 2001. –
3. – . 193-197.
3. Il trattamento radicale della cisti pilonidale
sacrococcigea / L. Rosato [et al.] // Minerva-Chir. –
1997. – Vol. 52, N 10. – . 1277-1279.
4. Kadaka, M. Surgical treatment for pilonidal sinus:
a forteen year experience / M. Kadaka // Ceneral
Surgery. – Tokyo, Japan. – 1999. – . 1-6.
5. Varabei, A. Treatment of pilonidal sinus abcess by
rhomboid flap: is successful procedure / A. Varabei,
M. Rimshza, V. Denisenko // Dis. Colon. Rectum. –
2004. – Vol. 47 – N 6. – P. 13.
.
210604, Республика Беларусь, г. Витебск, ул. Некрасова, д. 10,
,
УЗ «Вторая витебская областная клиническая больница»,
,
тел. раб.: 8 (0212) 37-92-79,
.
e-mail: [email protected]
Денисенко В.Л.
24.11.2008 .
130
.