小切口皮下修剪联合多孔引流治疗腋臭效果分析  

Effect of small incision subcutaneous pruning combined with porous drainage in the treatment of axillary osmidrosis

作　　者：黄锦荣 廖乘龙 郑赟 HUANG Jin-rong;LIAO Cheng-long;ZHENG Yun(Ningde City Hospital Affliated to Fujian Medical University,Fujian Province,352100,China)

机构地区：[1]福建医科大学附属宁德市医院普外一科,福建宁德352100

出　　处：《中国医疗美容》2018年第11期18-21,共4页China Medical Cosmetology

摘　　要：目的研究探讨小切口皮下修剪联合多孔引流治疗腋臭的临床效果。方法选择我院门诊就医且行手术治疗的60例腋臭患者(2016年1月?2018年3月),随机分为2组各30例,两组均实施小切口皮下修剪手术,观察组在手术切口内留置多个引流孔,留置引流管,而对照组手术切口内未放置引流,比较两组的切口愈合效果、切口愈合时间、切口疼痛评分、术后并发症、近期疗效、远期复发率、满意度。结果观察组的甲级愈合率高于对照组(P<0.05),其切口愈合时间短于对照组(P<0.05),其切口疼痛评分、术后并发症总发生率、远期复发率均低于对照组(P<0.05),且观察组的总有效率、总满意率均高于对照组(P<0.05)。结论在小切口皮下修剪手术中行多孔引流,可有效促进腋臭患者的术后切口愈合,有利于提高其临床疗效,使患者更加满意。Objective To study the clinical effect of small incision subcutaneous pruning combined with porous drainage in the treatment of axillary osmidrosis. Methods 60 patients with axillary osmidrosis （January 2016-March 2018） were selected and randomly divided into two groups with 30 cases in each group. Small incision subcutaneous pruning was performed in both groups, in the observation group, multiple drainage holes and drainage tubes were placed in the incision, while in the control group, no drainage was placed in the incision. The wound healing effect, wound healing time, wound pain score, postoperative complications, short-term effcacy, long-term recurrence rate and satisfaction were compared between the two groups. Results The healing rate of grade A in the observation group was higher than that in the control group （P〈0.05）, and the healing time of the incision was shorter than that in the control group （P〈0.05）. The incision pain score, the total incidence of complications and the long-term recurrence rate in the observation group were lower than those in the control group （P〈0.05）, and the total effective rate and satisfaction rate in the observation group were higher than those in the control group （P〈0.05）. Conclusion Porous drainage in mini-incision subcutaneous pruning can effectively promote the healing of incision in patients with axillary osmidrosis, improve the clinical effcacy, and make the patients more satisfactory.

关 键 词：腋臭 小切口皮下修剪手术 引流 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]