凡士林纱卷铆钉样缝合加压包扎对腋臭术后并发症发生率的影响研究  

Effect of Compression Dressing with Vaseline Gauze Rivet Suture on the Postoperative Complications of Axillary Osmidrosis

作　　者：卢井发[1] 曾招林[1] 叶小英[1] 万春雷[1] LU Jingfa;ZENG Zhaolin;YE Xiaoying;WAN Chunlei(Department of Dermatology,the First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,Jiangxi,China)

机构地区：[1]赣南医学院第一附属医院皮肤科,江西赣州341000

出　　处：《中国美容医学》2024年第3期57-60,共4页Chinese Journal of Aesthetic Medicine

基　　金：赣南医学院第一附属医院院级科技计划项目(编号:YJYB202080)。

摘　　要：目的:研究凡士林纱卷铆钉样缝合加压包扎对腋臭术后并发症发生率的影响。方法:将入选的101例患者按就诊顺序编号,随机分为两组,均采用微小切口大汗腺修剪术治疗。治疗组61例,采用凡士林纱卷铆钉样缝合加压包扎,对照组40例,采用“8”字绷带包扎。结果:治疗组皮下血肿、皮肤坏死、切口愈合延迟、瘢痕的发生率(分别为0.82%、0.82%、1.64%、2.46%)低于对照组(分别为12.5%、7.5%、8.75%、10%),差异有统计学意义(均P<0.05);治疗组、对照组术口感染发生率分别为1.64%、2.50%,差异无统计学意义(P>0.05)。治疗组满意度为93.44%,高于对照组的62.50%(P<0.05)。结论:与“8”字绷带包扎相比,凡士林纱卷铆钉样缝合加压包扎可以一定程度上降低腋臭术后并发症发生率,满意度更高,值得临床推广应用。Objective To study the effect of compression dressing with vaseline gauze rivet suture on the postoperative complications of axillary osmidrosis. Methods A total of 101 patients were numbered according to the order of clinical visit,and divided into two groups by randomly.All patients were treated by small invasive apocrine gland resection.61 patients in the treatment group were treated with Vaseline gauze rivet suture compression dressing,while 40 patients in the control group were treated with 8-shaped bandage. Results The incidences of subcutaneous hematoma,skin necrosis,delayed wound healing,and scar in the treatment group(0.82%,0.82%,1.64%,and 2.46%,respectively) were lower than those in the control group(12.5%,7.5%,8.75%,and 10%,respectively),with statistically significant differences(all P<0.05). The incidence of surgical site infection in the treatment group and the control group was 1.64% and 2.50%,respectively,and the difference was not statistically significant(P>0.05). The satisfaction of the treatment group was 93.44%,which was higher than 62.5% of the control group(P<0.05). Conclusion Compared with the "8" bandage,vaseline gauze and rivet like suture pressure dressing can reduce the postoperative complications of axillary osmidrosis to a certain extent,with higher satisfaction,which is worthy of clinical application.

关 键 词：腋臭 大汗腺 包扎 血肿 坏死 瘢痕 

分 类 号：R622[医药卫生—整形外科]