摘要
目的:观察比较腋窝皱襞切口薄皮瓣法及小切口全厚皮片法用于腋臭治疗的疗效。方法:选取2016年11月-2021年11月笔者医院行腋臭手术治疗的78例患者,依据手术方式不同分为观察组和对照组,每组39例。观察组行腋窝皱襞切口薄皮瓣法,对照组行小切口全厚皮片法。比较两组患者临床疗效、围术期各项指标、温哥华瘢痕量表(Vancouver scar scale,VSS)评分、患者与观察者瘢痕评估量表(Scar assessment scale for patients and observers,POSAS)评分及并发症发生情况。结果:观察组总有效率高于对照组,复发率低于对照组,手术时间、拆线时间、愈合时间均短于对照组,出血量少于对照组,瘢痕长度短于对照组,并发症总发生率低于对照组,差异均有统计学意义(P<0.05);术后6个月,观察组VSS、PSAS、OSAS评分均低于对照组(P<0.05)。结论:腋窝皱襞切口薄皮瓣法治疗腋臭疗效优于小切口全厚皮片法,该法复发率低,瘢痕轻,并发症少,是治疗腋臭较为理想的一种术式。
Objective To observe and compare the efficacy of thin skin flap and full-thickness skin graft in axillary fold incision in the treatment of bromhidrosis.Methods 78 patients with axillary osmidrosis who were hospitalized in our hospital from November 2016 to November 2021 were selected and divided into observation group and control group according to different operation methods,with 39 cases in each group.The observation group was treated with thin skin flap through axillary fold incision,and the control group was treated with full-thickness skin flap through small incision.The clinical effects of the two groups were compared,the perioperative indexes of the two groups were compared,the scores of vancouver scar scale(VSS)and the patient and observer scar assessment scale(POSAS),and the incidence of postoperative complications were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,the recurrence rate was lower than that of the control group,the operation time,suture removal time and healing time were shorter than those of the control group,the amount of bleeding was less than that of the control group,the length of scar was shorter than that of the control group,and the total incidence of complications was lower than that of the control group(P<0.05).At 6 months after operation,the VSS,PSAS and OSAS scores of the observation group were lower than those of the control group(P<0.05).Conclusion The effect of thin skin flap through axillary fold incision is better than that of full-thickness skin graft through small incision in the treatment of bromhidrosis.This method has low recurrence rate,light scar and fewer complications,and is an ideal surgical method for the treatment of bromhidrosis.
作者
秦芹
王锡蓓
张江来
许忠成
张琨
王睿
QIN Qin;WANG Xibei;ZHANG Jianglai;XU Zhongcheng;ZHANG Kun;WANG Rui(Department of Burn and Plastic Surgery,the First People's Hospital of Chuzhou,Chuzhou 239001,Anhui,China)
出处
《中国美容医学》
CAS
2024年第1期14-17,共4页
Chinese Journal of Aesthetic Medicine
关键词
薄皮瓣法
皮片法
腋臭
疗效
安全性
thin skin flap method
skin graft method
bromhidrosis
curative effect
security
