. 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: BOLN_priemn@vitebsk.by Денисенко В.Л. 24.11.2008 . 130 .