纵向抽吸加横向搔刮法与大汗腺剪除法治疗腋臭的回顾性分析  

Retrospective analysis in the treatment of axillary osmidrosis with longitudinal suction with lateral curettage and stripping sweat glands

作　　者：张芳[1,2] 孙玉峰[2] 娄欣[3] 

机构地区：[1]郑州美莱医疗美容医院美容外科,河南郑州450000 [2]郑州大学附属郑州中心医院整形外科,河南郑州450000 [3]郑州大学附属郑州中心医院病理科,河南郑州450000

出　　处：《中国美容医学》2016年第4期26-29,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察改良的抽吸搔刮法治疗腋臭的临床疗效及安全性。方法:将69例患者(138侧腋窝)按不同时间分为抽吸搔刮组34例和大汗腺剪除组35例。术后随访手术效果和伤口愈合情况。抽吸搔刮组取搔刮后的皮肤切取全层厚度,送常规病理。结果:术后随访6-17个月(平均13.6个月),抽吸搔刮组68侧腋窝治愈率(0级1级)91.2%,甲级愈合89.7%,乙级愈合7.4%,丙级愈合2.9%,大汗腺剪除组70侧腋窝治愈率(0级1级)92.9%,甲级愈合54.3%,乙级愈合37.1%,丙级愈合8.6%。两组治愈率差异无统计学意义(P>0.05);抽吸搔刮组伤口愈合情况更佳,差异有统计学意义(P<0.05)。抽吸搔刮组复发2人,二次手术行大汗腺剪除法,效果良好。病理结果显示:切取物为全层皮肤,含有小汗腺、皮脂腺,不含大汗腺。结论:相比较大汗腺剪除法,采用纵向抽吸加横向搔刮治疗腋臭,安全有效,可以作为首次腋臭根治手术的第一选择。Objective To observe the clinical effect and safety of modified suction with curettage in the treatment of axillary osmidrosis. Methods 69 patients with 138 axillas were included and divided into two groups（34 patients by suction with curettage treatment and 35 patients by stripping sweat glands） according to different period. The postoperative effects and recovery information were evaluated. The whole layer of skin after scraping was sent to routine pathology in suction with curettage treatment group. Results Follow-up was conducted for 6 to 17 months（13.6 months on average）. Among 68 cases in suction with curettage treatment group, the cure rate（grade 0 and 1） was 91.2%, the healing Grade A 89.7%, B 7.4%, C 2.9%. Among 70 cases in stripping sweat glands, the cure rate（grade 0 and 1） was 92.9%, the healing Grade A 54.3%, B 37.1%, C 8.6%. There was no significantly statistical difference between the two groups（P〈0.05）in the cure rate. The healing grade in suction with curettage group was better than another group（P〈0.05）. 2 people in suction with curettage group received reoperation with the method by stripping sweat glands and the results were good. The results of the pathological tissue showed that the extraction was the whole layer of skin, including eccrine glands, sebaceous glands, but no apocrine glands. Conclusion Compared with the method of stripping sweat glands, the longitudinal suction with lateral curettage treatment of axillary osmidrosis is safer and effective, can be used as the preferred treatment to radically cure axillary osmidrosis at the first time.

关 键 词：抽吸 搔刮 腋臭症 病理 微创手术 

分 类 号：R758.74[医药卫生—皮肤病学与性病学]