“V”形切口皮下修剪术治疗腋臭临床分析  

Clinic analysis of V-shaped incision with subcutaneous trimming for axillary osmidrosis

作　　者：刘样满 王国安 张海璐 王润龙 陈俊杰 张鑫 

机构地区：[1]平顶山市第二人民医院皮肤性病科,河南平顶山467000

出　　处：《临床皮肤科杂志》2016年第12期866-868,共3页Journal of Clinical Dermatology

摘　　要：目的:探讨"V"形切口皮下修剪术治疗腋臭的效果及并发症。方法:236例腋臭患者采用"V"形切口皮下修剪术治疗,从腋窝后壁中央腋毛边缘行"V"形切口,向上及两侧分离腋毛区,剪除大汗腺层,闭合切口,弹力绷带包扎压迫。结果:切口愈合时间平均为(11±2.6)d,一期愈合211例(89.41%),二期愈合25例(10.59%)。局限性皮下血肿17例(7.20%),局限性切口感染13例(5.51%),轻度切口糜烂裂开12例(5.08%)。有效率96.71%,复发率3.29%;局部瘢痕不明显,上肢活动均不受影响。结论:"V"形切口皮下修剪术治疗腋臭效果良好,并发症少,是较为理想的根治腋臭的手术方法。Objective： To investigate the efficacy and complications of V-shaped incision with subcutaneous trimming for axillary osmidrosis. Methods： A total of 236 patients with axillary osmidrosis underwent V-shaped incision with subcutaneous trimming. V-shaped incision was performed on the edge of armpit hair on the axillary posterior wall. Hairy areas were sepa- rated upward and sideward, followed by removal of apocrine sweat glands. After suture of the incisions, wounds were wrapped with elastic bandage. Results： Tile average wound healing time was 11±2.6 d. Operative incision of 211 cases（89.41%） were primary healing and 25 cases （10.59%） were secondary healing. Localized subcutaneous hematoma beneath the incision oc- curred in 17 cases（7.20%）. Local incision infection occurred in 13 eases（5.51%）. Minor incision erosion and disruption oc- curred in 12 cases（5,08%）. The total effective rate was 96.71%. The recurrence rate was 3.29%. Local scar was not visible, and arm movement was not affected. Conclusions： The V-shaped incision with subcutaneous pruning is effective for axillary osmidrosis, with less surgical complications. It is an ideal method for axillary osmidrosis.

关 键 词：腋臭 “V”形切口 皮下修剪术 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]