两种术式治疗腋臭的临床病理研究  

Clinical and pathological study of two surgical methods in the treatment of axillary osmidrosis

作　　者：陈文换[1] 马朝辉[2] 杨峰燕 严晓苓 邢晨阳 冀楠 Chen Wenhuan;Ma Zhaohui;Yang Fengyan;Yan Xiaoling;Xing Chenyang;Ji Nan(Department of Pathology,Zhuozhou Hospital,ZHebei 072750,China)

机构地区：[1]河北省涿州市医院病理科,072750 [2]河北省涿州市医院普外科,072750

出　　处：《山西医药杂志》2020年第6期654-655,共2页Shanxi Medical Journal

基　　金：河北省卫生厅重点资助项目(20181511)

摘　　要：目的 从临床病理角度比较小切口术式和腔镜术式对腋臭患者的治疗效果。方法 选择2017年7月至2018年7月收治的双侧腋臭患者30例,按术式分为小切口组和腔镜组,用2种不同术式切取组织送病理行苏木精-伊红和免疫组化染色,通过观察巨大囊肿病液体蛋白(GCDFP)-15和CD31染色结果,对比2组的大汗腺清除率和真皮下血管网损伤严重率。结果 腔镜组的大汗腺清除率和真皮下血管网损伤严重率分别高于和低于小切口组,组间比较差异均有统计学意义(P<0.05)。结论 腔镜腋下大汗腺精准切除术能更有效地清除大汗腺、保护真皮下血管网,对患者损伤小且美观。Objective To compare the therapeutic effects of small incision and endoscopy surgical methods on axillary osmidrosis from a clinical and pathological point of view.Methods Thirty patients with bilateral axillary osmidrosis were selected from July 2017 to July 2018,which were divided into small incision group and endoscopy group for the two surgical procedure.The excised tissues were sent to department of pathology for HE and immunohistochemical staining.The results of GCDFP-15 and CD31 staining were observed to compare the clearance rate of apocrine glands and severity rate of subdermal vascular network injury of the two groups.Results The clearance rate of apocrine glands of endoscopy group was higher and the severity rate of subdermal vascular network injury was lower than that of small incision group,respectively.The differences between groups were statistically significant(P<0.05).Conclusion Endoscopic precise resection of axillary apocrine glands can more effectively remove apocrine glands and protect subdermal vascular network,which is less harmful and more beautiful to patients.

关 键 词：腋臭 腔镜 病理 免疫组织化学 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]