腋窝皱襞切口超薄皮瓣修剪法治疗腋臭  

Ultra-thin flap pruning method with axillary fold incision for the treatment of axillary bromidrosis

作　　者：张树青[1] 朱光辉[1] 卢彬[1] 

机构地区：[1]天津市口腔医院整形外科,天津300041

出　　处：《中国美容医学》2015年第16期5-7,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的：总结采用超薄皮瓣修剪法治疗腋臭的临床疗效,探讨微创治疗腋臭的手术方法。方法：2008年1月-2014年12月,对86例腋臭患者实行局部肿胀麻醉,腋窝皱襞切口保留真皮下血管网的超薄皮瓣,修剪去除顶泌汗腺组织及部分毛根毛囊-皮脂腺复合体治疗腋臭。结果：经术后6~12月随访,除3例手术切口边缘部分皮肤坏死,切口愈合不良,瘢痕略明显外,其余患者均获满意效果。结论：腋窝皱襞切口真皮下血管网超薄皮瓣修剪法,具有手术创伤小、出血少、切口痕迹不明显、恢复快、复发少、患者满意度高等优点,是目前治疗腋臭值得推广的微创手术方法。Objective To summary the clinical effect of using ultra-thin flap pruning method to treat axillary osmidrosis and discuss the operationmethod of mini-invasive treatment of axillary osmidrosis. Methods From Jan 2008 to Dec 2014,86 cases with axillary osmidrosis who had undergone ultra-thin flap of retaining Subdermal Vascular Plexus with axillary fold incision to prune and remove apocrine gland tissue,part of hair root and follicles-sebaceous gland complex under tumescent anesthesia to treat axillary osmidrosis. Results After postoperative 6-12 months＇followup visit,except for 3 cases have partial cutaneous necrosis of incision edge,poor healing of incision and slight obviously scar,the others were satisfied with the operation outcome. Conclusion The method of Subdermal Vascular Plexus ultra-thin flap pruning method with axillary fold incision which has many advantages,such as minimal trauma,little bleeding, no obvious incision scare,quick recovery,low rate of recurrence,high patient satisfaction and so on,is worthy of popularizing minimally invasive surgical method in the treatment of axillary osmidrosis so far.

关 键 词：腋臭 腋窝皱襞切口 超薄皮瓣 微创手术 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]