腋下皱襞多个小切口大汗腺修剪腋臭治疗术  

The Treatmen of Axillary Bromidrosis With Multiple Little Incisions In Armpit Folds

作　　者：李卫华[1] 郑华森[1] 孙志成[1] 

机构地区：[1]武警后勤学院附属医院整形科,天津300162

出　　处：《中国美容医学》2015年第13期5-8,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨腋下皱襞多个小切口大汗腺修剪腋臭治疗术的有效性和可行性。方法:选取2012年9月至2014年9月在我院就诊的98例病例资料完整的腋臭患者,作为治疗组,手术方法为腋下皱襞多个小切口大汗腺修剪术。另外选取2010年9月至2012年8月就诊的87例腋臭患者作为对照组,手术方法为腋下皱襞单切口大汗腺修剪术。采用Park和Skin腋臭分级,对治疗组和对照组腋臭治愈率、术后并发症发生率及切口愈合时间进行对比,统计学分析。结果:治疗组和对照组相比,腋臭治愈率、血肿发生率、皮瓣表皮脱失发生率无明显统计学差异(P>0.05),治疗组切口瘢痕增生比率明显低于对照组(P<0.05)。治疗组切口愈合时间(10.5±1.2)d,对照组切口愈合时间(14.2±1.6)d,两者相比具有明显的统计学差异(P<0.05)。结论:腋下皱襞多切口大汗腺修剪腋臭治疗术可以减少切口延迟愈合的发生,缩短切口愈合时间,减少瘢痕增生,值得在临床上推广应用。Objective To explore the feasibility and rationality of the treatment of axillary bromidrosis with multiple little incisions in armpit folds. Methods Ninety-eight patients with axillary bromidrosis, who were underwent multiple incisions in armpit folds,were selected as the treated group.Eighty- seven patients underwent with single incision in armpit fold were selected as the controlled group.The curative rate,the complication rate, the wound healing time were assessed.The data were analyzed and compared. Results There was no significant diffirence between the treated group and the controlled group on the curative rate,the hemetoma rate and epidermal depigmentation rate （P〉0.05）. The hypertrophic scar rate in the treated group was significant lower than the controlled group （P〈 0.05）.The wound healing time in the treated group was （10.5±1.2）days,versus,the controlled group （14.2±1.6）days.There was a significant diffirence between the two groups（P〈0.05）. Conclusion The treatment of axillary bromidrosis with multiple little incisions in armpit folds could improve the wound healing and reduce scar hyperplasia.lt was worthy of clinical promotion.

关 键 词：腋臭 微创 并发症 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]