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

Yıl 2007, Cilt: 1 Sayı: 3, 155 - 159, 20.11.2007

Adnan Hasanoğlu

Öz

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.

Anahtar Kelimeler

Pilonidal sinüs, vücut kitle indeksi, obesite

Kaynakça

• 1. Ochs RH, Fishman A. Depositional Disease of the Lungs. In : Alfred P. Fishman (ed) Fishman’s Pulmonary diseases and Disorders. 3rd ed. The Me Graw Hill Company, Inc. 1998; Volume 1: 1154-5.
• 2. Teale C, Romaniuk C, Mulley G. Calcification on Chest radiographs: the association with age. Age and ageing 1989; 18:333-6.
• 3. Fukuya T, Mihara F, Kudo S, Russell WJ, DeLongchamp RR, Vaeth M, Hosoda Y. Tracheobronchial calcification in members of a fixed population sample. Act Radiologica 1989;30:277.
• 4. Edge JR, Millard FJC, Reid L, Path M C, Simon G. The radiographic apperance of the chest in persons of advance age. Brit J Radiol 1964;37:769.
• 5. Gamsu G, Webb WR. Computed tomography of the trachea. Normal and abnormal. Amer J Roentgenol 1982; 139:321.
• 6. Lloyd DC, Taylor PM. Calcification of the intrathoracic trachea demonstrated by computed tomography. Br J Radiol 1990;63:31-2.
• 7. Thoongsuwan N, Stern EJ. Warfarin-induced tracheobronchial calcification. J Thorac Imaging 2003;18: 110-2.
• 8. Harasawa M, Fukuchi Y, Minami H, Yano K, So K. Roento-genographic diagnosis of the elderly, lung. Geriat Med 1980;18:162.
• 9. Kumar V, Abbas AK. Cellular adaptations, cell injury and cell death. In: Rebecca Gruliow (ed), Robbins and Cotran, Pahologic basis of disease; 7th ed. Philadelphia, Copyright 2005 Elsevier Inc. ; s:41-2.
• 10. Anderson JR. Muir’s textbook of pathology. In:Edward Arnold,l 2th end. London, 1985;11:20-3.
• 11. Özdemir N, Ersu R, Akalin F, et al. Tracheobronchial calcification associated with Keutel syndrome. The Turkish Journal of Pediatrics 2006;48:357-61.
• 12. Wolpoe ME, Braverman N. Severe tracheobronchial stenosis in the X-linked recessive form of chondrodysplasia punctata. Arch Otolarngol Head Neck Surg 2004;130:1423-6.
• 13. Gurney W, Winer-Muram HT, Stern EJ. Diagnostic imaging Chest. First edition. In: Jud Gurney, MD (ed), Amirsys Copyright., FARC 2006;I:55,56.
• 14. Aparna J, Berdon WE. CT detection of tracheobronchial calcification in an 18 year- old on maintenance Warfarin sodium therapy. Am J Roentgenol 2000;175:921-2.
• 15. Grillo HC. Congenital lesions, neoplasms, inflammations, infections, injuries and other lesions of the trachea. In: Sabiston DC Jr, Spencer FC, eds. Surgery of the Chest. 6th ed. Philadelphia, Pa: WB Saunders; 1995.
• 16. McAdam LP, O’Hanlan MA, Bluestone R, Pearson CM. Relapsing polychondritis: prospective study of 23 patients and a review of the literature. Medicine 1976;55:193-215.
• 17. Mariotta S, Pallone G, Pedicelli G, Bisetti A. Spiral CT and endoscopic findings in a case of tracheobrochopathia ostheochondroplastica. J Comput Assist Tomog 1997;21: 418-20.
• 18. Cordonnier C, Fleury-Feith J, Escudier E, et al. Secondary alveolar proteinosis is a reversible cause of respiratory failure in leukemic patients. Am J Respir Crit Care Med 1994; 149:788-94.
• 19. Andersen PE Jr, Justesen P.Chondrodysplasia punctata. Report of two cases. Skeletal Radiol 1987;16:223-6.
• 20. Okhubo Y, Narimatsu A, et al. CT findings of the benign tracheobronchial lesions with calcification. Rinsho Hoshasen 1990;35:839-46.
• 21. Woodring JH, Howard RS, Rehm SR. Congenital tracheobronchomegaly (Mounier-Kuhn syndrome): A report of 10 cases and review of the literature. J Thorac Imaging 1991;6:1-10.
• 22. Hering T, Rossdeutscher R, Kaiser D. Mounier-Kuhn disease/Tracheobronchomegaly. Pneumologi 1990;44:507-8.
• 23. Yılmaz A, Coşkunsel M, Işık R. Mounier-Kuhn sendromu. Solunum Hast Derg 1991;2:283-6.
• 24. Well DS, Meier JM, Mahne A, et al. Detection of Age-Releated changes in thorasic structure and function by computed tomography, magnetic resonance imaging and positron emission tomography. Semin Nucl Med 2007; 37:103-19.
• 25. Trigaux IP, Swine C. Thoracic imaging in the elderly. J Beige Radiol 1997;80:239-42.
• 26. Matsuoka S, Uchiyama K, Shima H, Ueno N, Oish S, Nojiri Y, et al. Bronchoarterial ratio and bronchial wall thickness on high-resolution CT in asymptomatic subjects: correlation with age and smoking. AJR 2003;180:513-8.