负压抽吸结合消痔灵治疗腋臭  

Liposuction-curettage under negative pressure combined with Xiaozhiling injection for the treatment of axillary bromhidrosis

作　　者：孙杨[1] 龙剑虹[1] 杨兴华[1] 肖目张[1] 雷少榕[1] 范鹏举[1] 肖泽宁[1] 

机构地区：[1]中南大学湘雅医院整形美容科,长沙410008

出　　处：《中华皮肤科杂志》2013年第7期509-510,共2页Chinese Journal of Dermatology

摘　　要：目的探讨负压抽吸术联合消痔灵注射治疗腋臭的疗效。方法在腋毛分布边缘外0．5～1cm处标记手术范围，肿胀麻醉后放射状负压抽刮术区，消痔灵注射刮吸后皮下腔隙治疗腋臭。随访3个月以上并对治疗效果进行分析评价。结果2009年3月至2012年5月应用负压抽吸结合消痔灵注射术治疗腋臭并随访患者72例，其中男16例，女56例，年龄14—41岁。所有患者术后1周随访：切口均一期愈合，皮下无血肿，无坏死。术后随访3—18个月，平均随访时间8个月。治愈133侧，占92．4％，有效11侧，约占7．6％，有效率100％。术后瘢痕不明显，患者满意度高。结论负压抽吸术联合消痔灵注射治疗腋臭操作简单，效果确切，恢复快，术后瘢痕不明显且并发症少，是一种值得推广的手术方法。Objective To evaluate the efficacy of liposuction-curettage under negative pressure combined with XJaozhiling injection for the treatment of axillary bromhidrosis. Methods The operative field was marked along the border of hair-bearing area of axilla with a distal margin of 0.5 - I cm. Subcutaneous tissue was removed by stroke movement under negative pressure after tumescent anesthesia. Subsequently, Xiaozhiling injection was injected into the subcutaneous space. All the patients were followed for at least 3 months, and therapeutic efficacy was evaluated quantitatively. Results A total of 72 patients （144 sides） with axillary bromhidrosis were treated with this method from March 2009 to May 2012, including 16 males and 56 females aged 14 - 41 years. All the patients experienced primary healing with no necrosis or hematoma formation within one week after the operation. The follow-up lasted 3 to 18 months （average： 8 months）. Among the 144 sides, 133 （92.4%） were cured, 11 （7.6%） were improved, with the response rate being 100%. Postoperative scar is invisible, and patients were satisfied with the treatment outcomes. Conclusion The combined therapy is a simple and effective approach to the treatment of axillary bromhidrosis with a fast recovery and less complications.

关 键 词：消痔灵注射术 负压抽吸术 注射治疗 腋臭 患者满意度 术后随访 治疗效果 术后瘢痕 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]