腋后线沿皮纹横行小切口在搔刮法腋臭根治术中的应用  

Study on using transverse small incision along the striae at posterior axillary line for axillary osmidrosis radical surgery with subcutaneous curettage

作　　者：谢立云[1] 

机构地区：[1]哈励逊国际和平医院烧伤整形外科,河北衡水053000

出　　处：《中国美容医学》2012年第6期898-900,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨腋臭根治术更理想的微创手术方式。方法:作者手术治疗了280例(560侧)患有双侧腋臭的患者,应用腋后线沿皮纹横行小切口搔刮法腋臭根治术140例(实验组),应用腋窝横皱襞小切口搔刮法腋臭根治术140例(对照组),观察记录每例患者双侧手术总的时间、术后有无血肿、术后有无切口边缘坏死或糜烂及治疗效果。结果:①实验组140例手术时间均值为(60±2)mi n,对照组140例手术时间均值为(110±2)mi n,两者有统计学差异(t=220.17,P<0.05);②实验组术后未出现皮下血肿,而对照组1例单侧术后出现皮下血肿,两者无显著性差异(P=0.5);③实验组术后无切口边缘坏死或糜烂,对照组6例(8侧)出现术后切口边缘坏死或糜烂,两者有显著性差异(P=0.0148);④所有患者随访1年,实验组136例治愈,4例有效,总有效率100%,治愈率97.14%;而对照组135例治愈,5例有效,总有效率100%,治愈率96.43%;两者治愈率无显著性差异(χ2=0.0094,P>0.05)。结论:应用腋后线沿皮纹横行小切口行腋臭根治术,术者手术操作方便,手术时间短,无切口边缘坏死或糜烂,并发症少,治愈率高,是值得推广的一种手术方式。Objective To investigate a better mini-invasion surgery from axillary osmidrosis. Methods 280 patients with axillary osmidrosis of two armpits were investigated,140 cases of the experimental group were given a transverse small incision along the striae at posterior axillary line for axillary osmidrosis radical surgery with subcutaneous currettage respectively,and 140 cases of the control group were treated with a small incision along axillary horizontal folds in the central of the skin needing to be operated. The total amount of operation time of every patient, postoperative hematoma, postoperative wound edge necrosis or erosion, and the cure rate, etc, all were observed and recorded. Results ①The average of surgical operation time of every patient from the experimental group was （60＋2） minutes ,and the average of surgical operation time of of every patient from the control group was （110＋2） minutes,there was significant difference. （t=220.17,P〈0.05）. ②No patient had postoperative hematoma in the experimental group and only one patient had postoperative hematoma of one armpit in the control group,there was no significant difference. （P=0.5）. ③ In the experimental group,no patient had postoperative wound edge necrosis or erosion,while in the control group,6 patients （8 armpits） had postoperative wound edge necrosis or erosion,a significant difference between the two.（P=0.0148）. ④Allthe patients were followed up 1 year.In the experimental group ,136 patients were cured,and 4 cases were effective,with the total efficiency of 100%,the cure rate 97.14% ;In the control group, 135 patients were cured,and 5 cases were effective,with the total efficiency of lO0%,the cure rate 96.43%.There was no significant difference between the cure rate of the two groups.（X^2=O.OO94,P〉O.05）. Conclusion Using small incision along the striae at posterior axillary line for axillary osmidrosis radical surgery with subcutaneous currettage, the operation was more convenient and the surgeon spent le

关 键 词：腋臭 小切口 腋臭根治术 搔刮 

分 类 号：R758.74[医药卫生—皮肤病学与性病学]