毛窦脓肿单纯穿刺与切开的效果比较 (PILO)

实验性的：穿刺/抽吸

然后使用 16 号针进行穿刺。 将提供抗生素保险。

程序：puncture

Local anesthesia is previously carried out with 2-5 cc of 1% lidocaine. The puncture is then carried out using a 16 gauge needle. Antibiotic coverage will be offered. A work stoppage is recommended until the day after the puncture/aspiration but the duration is left to the discretion of the surgeon. A visit is systematically realised 15 days after the puncture/aspiration with a recommendation for earlier consultation in the event of persistence of redness, discharge, pain or onset of fever. If these symptoms recur or persist, it is recommended to make an incision with packing. In the event of fistulization following the puncture, associated with discharge and skin necrosis, local nursing care is recommended.

其他名称：

• 愿望

有源比较器：脓肿切口

切口是在手术室全身或局部麻醉下进行的。 干预在门诊进行，但如有必要，可进行短期住院治疗。 然后每天在家里进行护理并进行干燥，直至痊愈。

程序：脓肿切开

这是根据科室的习惯进行的：在手术室进行全身或局部麻醉，或在局部麻醉下会诊（或急诊）。 该手术在门诊进行，但如有必要，也会进行短期住院治疗。 然后每天在家里进行护理并进行干燥，直至痊愈。 建议停工约 10 天。 切口后 15 天会系统地进行一次就诊，如果出现持续发红、分泌物、疼痛或发烧的情况，建议尽早就诊。 如果这些症状再次出现或持续存在，建议切开并填塞。 如果进展顺利，则计划在初次手术后 4 至 6 周进行最终切除手术。

其他名称：

• 黄金标准

healing time

Compare the duration of wound healing between the puncture-aspiration and Incision groups => The healing time is defined by the time between the abscess flattens and the moment the skin is epidermised. In this case, it involves stopping the use of nursing care and stopping dressings. Healing is checked by the investigator using a photo taken by the patient. The date of healing is then recorded by the patient in the logbook. In the event of a recurrence of the abscess, with the need for an incision following the acute episode, the healing time is added to the duration of the previous episode.

2个程序的有效性

穿刺抽吸和参考技术在症状消失方面的有效性 => 有效性定义为症状消失，并以初始干预后 4 周后炎症三联征消失为特征：疼痛、发热和发红。 在预定的彻底切除之前脓肿或急性感染复发被认为未能解决症状。

Cost analysis

Total cost of each care pathway for the acute phase of a pilonidal sinus abscess, from a health insurance perspective.

Duration of nursing care

Period between the date of emergency consultation and the date of the last visit of a nurse before the definitive resection => The care may be discontinuous or delayed from the urgent intervention, particularly if the abscess to be flattened secondarily after the initial intervention.

Duration of work stoppage

Time between initial intervention and return to work.

Returning to work

The time between the initial intervention and the day on which the patient feels able to resume their professional activity normally => The day on which the patient feels capable of resuming professional activity may be before the date of resumption of professional activity.