摘要
目的探讨腋窝皱襞小切口直视切除大汗腺及全厚皮瓣法治疗腋臭的疗效。方法收集双侧腋臭患者163例，均采用腋窝皱襞切口，手术范围超腋毛分布1cm，肿胀麻醉，直视下剪除包含大汗腺的腋部皮下组织5mm左右，直至腋窝手术范围皮肤形成全厚皮瓣。创面用双极电凝彻底止血，放置引流条，加压包扎等措施，切口9d拆线愈合。臭味标准参考Tung-Chain腋臭疗效评价标准评定。结果治愈320个腋窝，占98．16％（320／326）；显效6个腋窝，占1．84％（6／326）。腋毛变化：明显减少322个腋窝，占98．77％（322，326）；一般减少4个腋窝，占1．23％（41326）。出汗状况：明显减少324个腋窝，占99．39％（324／326）；改善但不明显减少2个腋窝，占0．61％（2／326）。手术恢复时间9d左右。并发症：皮肤切口边缘坏死8个腋窝，切口瘢痕3个腋窝，血肿1个腋窝，肩关节活动受限0个腋窝。结论腋窝皱襞小切口直视切除大汗腺及全厚皮瓣法治疗腋臭，存在根除腋臭病因的解剖与病理学基础依据，具有操作简单、疗效可靠、创伤小、并发症少等特点，最大限度符合整形外科原则，值得临床应用。
Objective To study the curative effect of axillary osmidrosis, that incision in armpit wrinkle,orthoptic cut off the gland to thick skin flap. Methods Collected double-sided axillary osmidrosis 163 patients,all of them accepted armpit wrinkle incision,the scope of surgical operation super the armpit hair distribute 1 cm, swelling anaesthesia, orthoptic cut off the armpit organization 5 mm under skin included apocrine sweat gland, kept the operation scope to vessel net flap under skin. Hematischesis thoroughly used a double pole electricity hemostasis, kept drainage after operation, bandaged in pressure, took out sutures after 9 days. The foul smell standard referenced the Tung-Chain standard of axiUary osmidrosis curative effect evaluation. Results Three hundred and twenty armpits （98.16%, 320/326） were cure, 6 armpits （1.84%, 6/326） were excellence. The armpit hair variety：obvious reduce 322 armpits （98.77%, 322/326）, general reduce 4 armpits （1.23% ,4/326）. Perspire condition：obvious reduce 324 armpits （99.39%,324/326）, improve but no obvious reduce 2 armpits （0.61% ,2/326）. The average surgical operation recovery time was about 9 days. Complication： necrosis on the edge of the skin was 8 armpits, scar formation on the incision was 3 armpits,hematoma was 1 armpit,shoulder joint limitation of activity was 0 armpit. Conclusion The method of axillary osmidrosis treatment useing thick skin flap in armpit wrinkle,which has extermination foundation of anatomy and pathology, which can cause axillary osmidrosis, this operation is simple, curative effect is credible, the wound is small, complication is little etc, utmost matching the principle of orthopedic surgery, worthy of clinical application.
出处
《中国医师进修杂志》
2012年第8期13-15,共3页
Chinese Journal of Postgraduates of Medicine
关键词
臭汗症
汗腺
治疗
Bromidrosis
Sweat glands
Therapy
作者简介
通信作者：张郑，Email：sdzhzh@tom．com
