内镜结合超声刀治疗臭汗症八例  

Application of endoscopy combined with ultrasonic knife in the treatment of bromidrosis

作　　者：戚稼[1] 翟建新[1] 蒋屏东[1] 郑渊[1] 夏汝山[1] 杨莉佳[1] 

机构地区：[1]南京医科大学附属无锡第二医院皮肤科,江苏无锡214002

出　　处：《中华皮肤科杂志》2014年第2期126-127,共2页Chinese Journal of Dermatology

摘　　要：目的 探讨内镜结合超声刀在臭汗症根治术中的应用。 方法 8例双侧臭汗症患者全麻下采用术区外小切口内镜结合超声刀清除大汗腺治疗臭汗症。 结果 8例患者术后6个月疗效评估：0级7例（87.50%），1级1例。1例女性患者由于术中皮肤局部温度过高造成一侧腋下皮肤表皮脱落，术后加强局部皮肤护理后治愈。1例男性患者由于手术过程中电凝钩灼伤皮肤，缝合后伤口愈合，未影响手术效果及美观。8例患者均未出现皮瓣全层坏死或皮下血肿。术后美容效果好。随访3 ~ 12个月，无复发，患者对治疗效果均满意。 结论 内镜结合超声刀治疗臭汗症具有切口隐蔽、效果满意、术后并发症少的优点。Objective To evaluate the performance of endoscopy combined with ultrasonic knife in the treatment of bromidrosis. Methods Eight patients with bilateral bromidrosis were included in this study. A small incision was made outside of the surgical region, and apocrine sweat glands in bilateral axillary region were endoscopically removed from all the patients by ultrasonic knife under general anesthesia. The efficacy was evaluated six months after the operation. Results Efficacy evaluation revealed that seven patients were rated as grade 0, and one as grade 1 after the treatment. Skin exfoliation was noted during the operation in unilateral axillary region of one female patient due to excessively high temperature, and the condition was improved after proper skin care. The skin was burned by electrocautery hook during the operation in one male patient, which was cured after suture and did not affect the outcome of operation or appearance of the skin. None of the patients suffered from full-thickness necrosis of skin flap or subcutaneous hematoma. All the patients got a good cosmetic result and were satisfied with the outcome of treatment. No relapse was observed in these patients during 3 - 12 months of postoperative follow-up. Conclusion Endoscopy in combination with ultrasonic knife exerts favorable efficacy in the treatment of bromidrosis with hidden incisions and reduced complications.

关 键 词：臭汗症 腹腔镜 外科手术 

分 类 号：R758.7[医药卫生—皮肤病学与性病学]