改良低位侧胸壁开孔引流与传统引流法在小切口腋臭切除术中的美容效果及安全性分析  

Analysis of the Cosmetic Effect and Safety of Modified Lower Chest Wall Opening Drainage and traditional Drainage Method in Small Incision Axillary Osmidrosis Resection surgery

作　　者：操瑞昌 Cao Ruichang(Department of Plastic and Reconstructive Surgery,Anqing Municipal Hospital,Anqing Anhui 246000,China)

机构地区：[1]安庆市立医院整形与创面修复外科,安徽安庆246000

出　　处：《生命科学仪器》2024年第1期102-104,107,共4页Life Science Instruments

摘　　要：目的探讨分析改良低位侧胸壁开孔引流、传统引流法在小切口腋臭切除术中的美容效果及安全性。方法选取安庆市立医院整形与创面修复外科2021年1月至2022年12月期间收治的100例双侧腋臭患者为研究对象,按随机数字表法分为两组,对照组50例,在小切口腋臭切除术中采用传统引流法;观察组50例,在小切口腋臭切除术中采用改良低位侧胸壁开孔引流术。对比两组术后皮瓣恢复效果、并发症等。结果术后6个月,两组腋臭分级均明显降低,但组间比较,差异无统计学意义(P>0.05)。观察组伤口愈合时间短于对照组,术后NRS评分低于对照组,差异有统计学意义(P<0.05)。观察组术后皮下积血、皮瓣血供、皮瓣贴附度评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论与传统引流法相比,在小切口腋臭切除术中采用改良低位侧胸壁开孔引流可降低患者腋臭分级,缩短其术后切口愈合时间,减少并发症发生。Objective:To Objective to explore and analyze the cosmetic effect and safety of improved low lateral chest wall drainage and traditional drainage in small incision bromhidrosis resection.Methods:100 patients with bilateral osmidrosis who were treated in the Department of Plastic Surgery and Wound Repair of Anqing Municipal Hospital from January 2021 to December 2022 were selected as the research object,and randomly divided into two groups,the control group 50 cases,and the traditional drainage method was used in small incision osmidrosis resection;In the observation group50 cases were treated with improved drainage by opening the chest wall in the low position during the small incision bromhidrosis resection.The recovery effect and complications of skin flap after operation were compared between the two groups.Results:Six months after operation,the grade of axillary osmidrosis in both groups decreased significantly,but there was no significant difference between the two groups(P>0.05).The wound healing time in the observation group was shorter than that in the control group,and the postoperative NRS score was lower than that in the control group,with statistical significance(P<0.05).The scores of subcutaneous hematocele,flap blood supply and flap adhesion in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,with statistical significance(P<0.05).Conclusion:Compared with the traditional drainage method,the improved low-side chest wall drainage can reduce the grade of bromhidrosis,shorten the postoperative wound healing time and reduce complications.

关 键 词：改良低位侧胸壁开孔引流 传统引流法 小切口腋臭切除术 

分 类 号：R622[医药卫生—整形外科]