摘要
目的:探讨微孔引流在皮瓣法腋臭切除术中预防瘢痕发生的作用。方法:76例腋臭患者采用皮瓣法腋臭切除术,去除大汗腺及毛囊后在皮瓣上用尖刀片沿皮纹戳数个长约3mm的微孔进行引流,缝合切口后用弹力绷带包扎压迫手术区敷料。术后第3天及第7天换药,10天拆线并观察皮瓣成活情况,术后3～6月进行随访。结果:76例患者术后均无血肿及感染发生,切口甲级愈合。随访全部患者腋部辛辣汗臭均消失、出汗减少,社交正常。除5例腋窝瘢痕宽约1～3mm外,其余患者瘢痕不明显,皮肤颜色及皮肤质地均正常,腋毛基本消失。结论:微孔引流在保证腋臭手术疗效的同时能显著降低腋部瘢痕的发生。
Objective To investigate the effects of skin flap with micropore in preventing the scar of axillary osmidrosis. Methods 76 cases of patients with axirlary osmidrosis were treated by using skin flap, which was punctured with scaFpel. The micropore was used for drainage,and whose width was just 3mm. After apocrine sweat glands＂ and hair follicles＂ being removed, the wound was sewed up with 3-0 sutures. Figure of 8 elastic bandage was given to both of axilla. The incisions were examined at the 3d and 7d, respectively, and the sutures were removed at 10d. Follow-up investigation was carried out in all the patients between 3 and 6 months after operation. Results Of the 76 cases, all the incisions were healed well, and no hematoma, infection or other complications occured after operation. No obvious scars were observed in 3 to 6 months,except 5 cases of scars,whose width was only 1 to 3mm. The color and the texture oI axillary skin were well,and all the armpit hair was almost vanished. Conclusion Skin flap with micropore as drainage is a better method in treating axillary osmidrosis and can also reduce scar complication.
出处
《中国美容医学》
CAS
2012年第10期1703-1704,共2页
Chinese Journal of Aesthetic Medicine
基金
河北省医学科学研究重点课题(编号:20110183)
关键词
腋臭
皮瓣
微孔
引流
瘢痕
osmidrosis
flap
micropore
drainage
scar
