摘要
目的探索出一种能有效根治腋臭且能减少并发症的治疗方案。方法在腋下顶部由前至后设计两条相距3-5 cm,长2-3 cm的平行切口,肿胀麻醉,皮下组织浅层分离至腋毛区外1 cm,把带有汗腺及毛囊的皮肤修薄至全厚或中厚皮片厚度。术毕放置引流条,8字形绷带加压包扎。结果本法共治疗41例腋臭患者,其中8例是其他方法治疗复发者,患者术后随访1年,除3例有轻微气味外,均得到根治,无任何并发症。术后瘢痕不明显,治愈率92.7%,总有效率100%。对照组37例,术后单用加压包扎,发生术后血肿5例,复发3例,且瘢痕较明显。治愈率78.4%,总有效率89.2%。结论引流条的放置在小切口根治腋臭中可有效减少并发症,提高治疗效果。
Objective To explore a radical cure of bromidrosis with minor complications. Methods Under tumescent anesthesia, one or two small incisions from creases in armpit or two paralleled incisions which were about 3cm apart were cut. Then superficial layer of subcutaneous tissues were lcm separated outside of the armpit hair field. Trimming the skin with sweat glands and hair follicle to intermediate thickness skin graft or full thick skin graft, a drainage strip was placed in the incision and pressure dressing. Results Among the 41 patients in this group, including 8 recidivists healed by other cure, all patients were radically cared except 1 slightly abnormal smell in two-year follow-up. Postoperative scar was not conspicuous ,cure rate was 97% , total effective rate was 100%. In the control group, with only pressure dressing,5 patients generated haematoma, 3 recidivists, cure rate was 78.4% , total effective rate was 89. 2%. Conclusion The placement of drainage strip may reduce complications, elevate cure rate in the surgery of small incision for the radical treatment of bromidrosis.
出处
《川北医学院学报》
CAS
2007年第1期25-26,共2页
Journal of North Sichuan Medical College
关键词
引流条
小切口
腋臭
Drainage strip
Small incision
Bromidrosis
