Pilonidal Sinüs Hastalığının Meslek, Yaş, Cinsiyet ve Vücut Kitle İndeksi ile İlişkisi

Year 2007, Volume: 1 Issue: 3, 155 - 159, 20.11.2007

Adnan Hasanoğlu

Abstract

Pilonidal sinüs, en sık olarak sakrokoksigeal bölge üzerinde orta hatta yerleşen, içerisinde kıl demederinin bulunduğu bir veya daha fazla sinüs ağzı ile karakterize, akut ve subakut enfeksiyon atakları ile seyreden kronik bir hastalıktır.

Çalışmaya 1995-2004 yılları arasında pilonidal sinüs tanısı ile yatırılarak cerrahi tedavi uygulanan 168 hasta alındı. Hastalık ile yaş, cinsiyet, meslek ve vücut kilo ağırlığı arasındaki ilişki retrospektif olarak araştırıldı.

Hastaların yaş ortalaması 34.16±6.4 idi (21-52 yaş arası). Hastaların 123’ü erkek, 45’i ise kadındı. Erkeklerde hastalık anlamlı yüksek bulundu (p< 0.05). Çalışmamızda tüm vaka grubundaki fazla kilolu ve obez sayısı 127 idi ve bu normal kilolu gruba göre istatistiksel olarak anlamlı yüksekti. Çalışma grubunda mesleğinin çoğu zamanını oturarak geçiren hasta sayımız 72 idi (%42.8). Mesleğinin çoğu zamanını oturarak yapmayan hasta sayımız ise 96 idi (%57.2).
Fazla kilo ve obezite, hem de aktivitenin çoğunun oturularak yapılıyor olması pilonidal sinüs olma ihtimalini artıran faktörlerdir. Pilonidal sinüsü olan fazla kilolu ve obez hastalarının kilo vermelerinin ve fiziksel aktivitelerini arttırmalarının faydaları olacağı sonucuna varıldı..

Abstract
A pilonidal sinus is an infected tract under the skin, usually seen on sacrococcygeal area, in the natal cleft. It is usually a small cavity containing a tuft of hair and possibly can be oozing pus. This study was carried out retrospectively with 168 patients to investigate the relationship between the pilonidal sinus and, body mass index, gender and occupation.
The mean age of our patients was 34.16 years, the number of male and female patients were 123 and 45 respectively (p<0.05). The body weight above normal was 127 patients and this is significandy higher than the patients who had normal body weight. The number of our patients doing their normal daily activities mostly by sitting was not higher then the other patients but working by sitting mosdy is a risk and predisposing factor for pilonidal sinus disease.
The obesity or body weight over normal, being male and working mostly by sitting are the factors to attenuate the forming of pilonidal sinus disease. Weight loss and more activity' are advised to the patients.

Keywords

Pilonidal sinüs, vücut kitle indeksi, obesite

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