改良肿胀麻醉在微创腋臭根治术中的疗效及安全性分析  

Analysis of the efficacy and safety of modified tumescent anesthesia in minimally invasive radical surgery for bromhidrosis

作　　者：贺姣姣 唐华淳 刘丽娜 HE Jiao-jiao;TANG Hua-chun;LIU Li-na(Department of Burn and Plastic Surgery,Second Affiliated Hospital of Nanhua University,Hunan Province,421001,China)

机构地区：[1]南华大学附属第二医院烧伤整形科,湖南衡阳421001

出　　处：《中国医疗美容》2022年第12期17-20,24,共5页China Medical Cosmetology

摘　　要：目的以常规肿胀麻醉下微创腋臭根治术为对照,探讨改良肿胀麻醉下的腋臭根治术的疗效及安全性。方法采用随机对照法进行究设计,纳入初诊腋臭的患者329例,按照随机数字法分为观察组(n=169)和对照组(n=160),观察组给予改良肿胀麻醉联合微创腋臭根治术,对照组给予常规肿胀麻醉联合微创腋臭根治术,比较两组治愈率、复发率、术中出血量、术后并发生发生情况。结果观察组患者术后治愈率及复发率无显著差异,差异无统计学意义;观察组麻醉速度高于对照组,术中出血量低于对照组,差异有统计学意义;观察组患者术后出血、皮下血肿发生率高于对照组,差异具有统计学意义;观察组患者术中疼痛程度低于对照组、手术满意度高于对照组,差异具有统计学意义。结论改良肿胀麻醉可以提高腋臭手术安全性、降低术中疼痛感、提高患者手术满意度,是一种与腋臭手术相适应的优秀方法。Objective To investigate the efficacy and safety of the modified tumescent anesthesia for the treatment of bromhidrosis,compared with the conventional tumescent anesthesia for the minimally invasive radical treatment of bromhidrosis.Methods A randomized controlled study was conducted.329 patients with newly diagnosed bromhidrosis were included in the study.They were randomly divided into the observation group(n=169)and the control group(n=160).The observation group was treated with improved tumescent anesthesia combined with minimally invasive radical masthidrosis surgery,and the control group was treated with conventional tumescent anesthesia combined with minimally invasive radical masthidrosis surgery.The cure rate,recurrence rate,intraoperative bleeding volume,and postoperative complications of the two groups were compared.Results There was no significant difference in the cure rate and recurrence rate in the observation group;The anesthesia speed of the observation group was higher than that of the control group,and the intraoperative blood flow was lower than that of the control group,with a statistically significant difference;The incidence of postoperative hemorrhage and subcutaneous hematoma in the observation group was significantly higher than that in the control group;The degree of intraoperative pain in the observation group was lower than that in the control group,and the degree of satisfaction with surgery was higher than that in the control group,with a statistically significant difference.Conclusions The improved tumescent anesthesia can improve the safety of axillary osmidrosis operation,reduce the pain during operation,and improve the satisfaction of patients.It is an excellent method suitable for axillary osmidrosis operation.

关 键 词：肿胀麻醉 微创腋臭根治术 疗效 安全性 

分 类 号：R614[医药卫生—麻醉学]