摘要
目的分析腋臭患者的临床特征,采用腋中线小切口法治疗,进一步观察其组织学特点,随访疗效及术后并发症。方法回顾性分析在陆军军医大学第一附属医院行腋中线小切口法的腋臭患者,统计患者的性别、发病年龄、体重指数(BMI)、腋臭气味严重程度、家族史,观察组织学情况,并对患者的临床效果及并发症等进行长期随访。结果96例腋臭患者中,女性患者56例(58.33%),58例(60.42%)患者有家族史,体重指数(BMI)为肥胖及超重的患者达22例(22.92%)。HE染色在腋毛区域内可见较多的顶泌汗腺及皮脂腺分布,腋毛区外侧1~1.5 cm可见浅层脂肪组织,无顶泌汗腺及皮脂腺的分布。患者术后1年的随访发现,患者治疗的总体有效率为90.43%,满意度达到91.49%,有3例患者复发。术后发生血肿11例、皮瓣坏死4例,伤口疤痕愈合差7例。结论通过前期HE染色判断,并采用腋中线小切口法,治疗腋臭有较好的根治效果,是一种安全有效的手术方式。
Objective To analyze the clinical characteristics of the patients with underarm odor,to adopt the mid-axillary small incision method to treat,further to observe the histological characteristics and follow up the efficacy and postoperative complications.Methods A retrospective analysis was performed on the patients with underarm odor treated by mid-axillary small incision in this hospital,including the statistic situation of the patient′s gender,age of onset,body mass index(BMI),severity of underarm odor and family history.The histologic situation was observed,and the long-term follow-up for clinical effects and complications of the patients was performed.Results Among 96 cases of underarm odor,there were 56 cases(58.33%)of female,58 cases(60.42%)had the family history,and BMI was obesity and overweight in 22 cases(22.92%).The HE staining showed that there were more apocrine and sebaceous glands in the axillary hair area,superficial adipose tissue could be seen from 1-1.5 cm outside the axillary hair area,and there was no apocrine and sebaceous glands distribution.The 1-year follow-up found that the overall effective rate of the treatment in the patients was 90.43%,the satisfaction degree reached 91.49%,and 3 cases relapsed.After operation,11 cases of hematoma and 4 cases of skin flap necrosis occurred,and 7 cases of wound scar healing were poor.Conclusion Using the small mid-axillary incision method by the HE staining judgment in early stage has a good radical cure effect for treating underarm odor,which is a safe and effective surgical method.
作者
吴亚光
郭海英
游弋
何虹巧
宋志强
WU Yaguang;GUO Haiying;YOU Yi;HE Hongqiao;SONG Zhiqiang(Department of Dermatology,First Affiliated Hospital of Army Military Medical University,Chongqing 400038,China;Teaching and Researching Section of Biological Cytology, Basic Medical College,Army Military Medical University,Chongqing 400038,China)
出处
《重庆医学》
CAS
2022年第9期1473-1477,共5页
Chongqing medicine
基金
国家自然科学基金项目(81872543)。
关键词
腋臭
腋中线小切口
并发症
疗效
underarm odor
small mid-axillary incision
complications
curative effect
