组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2019, Vol. 15 ›› Issue (3): 179-181.doi: 10.3969/j.issn.1673-0364.2019.03.013

• 论著 • 上一篇    下一篇

内窥镜辅助负压吸割治疗121例腋臭的疗效分析

肖霞，张柔，杨锋，杨军，贺召丽，刘烨   

  1. 南华大学附属第二医院烧伤整形外科；上海交通大学医学院附属第九人民医院整复外科；滕州市中心人民医院烧伤整形科；安徽医科大学第一附属医院整形外科
  • 收稿日期:2019-02-26 修回日期:2019-04-17 出版日期:2019-06-20 发布日期:2019-06-20
  • 作者简介:杨锋,E-mail:doctoryangfeng@hotmail.com。

Effectiveness of Endoscope-Assisted Negative Pressure Suction Cutter for Treating Axillary Osmidrosis in 121 patients

XIAO Xia,ZHANG Rou,YANG Feng,YANG Jun,HE Zhaoli,LIU Ye   

  • Received:2019-02-26 Revised:2019-04-17 Online:2019-06-20 Published:2019-06-20

摘要： 目的 探讨内窥镜辅助下电动负压吸割治疗腋臭的临床疗效。方法 2015年12月至2018年6月,对121例腋臭患者(242侧腋窝)采用内窥镜辅助下小切口电动负压旋切吸割手术治疗。沿腋皱襞边缘作0.5～1 cm切口,以负压吸割器清除术区范围包含大汗腺在内的一定厚度的皮下组织,在内窥镜辅助下确定皮瓣修剪至近似全厚皮,搔刮冲洗后皮肤打孔并将皮片与基底组织以凡士林油纱布钉固定,棉垫填充腋窝顶部,以腋臭专用弹力衣加压包扎。结果 术后随访6～12个月,242侧腋部中239侧气味消除效果好,3侧一般。所有患者对术后效果表示满意。结论 内窥镜辅助下小切口电动负压吸割术具有操作可视、创伤轻微、疗效可靠、术后并发症少的特点,患者满意度高,值得临床推广。

关键词: 腋臭, 内窥镜辅助, 电动负压吸割器

Abstract: Objective To investigate the effectiveness of endoscope-assisted motor-driven negative pressure suction cutter in the surgical treatment of axillary osmidrosis.Methods From December 2015 to June 2018,121 patients(242 sides)with axillary osmidrosis were treated with endoscope-assisted minimally invasive motor-driven negative pressure suction cutter.A 0.5-1 cm incision was made in the axillary crease.Subcutaneous tissue and glands,including apocrine sweat gland,were excised with motor-driven suction cutter until the flap was trimmed to approximately full thickness under endoscope.After scraping and rinsing the operation space,the skin was punched and fixed with vaseline gauze nail.After operation,custom clothes for axillary osmidrosis were put on.Results All patients were followed up for 6 to 12 months.Among the 242 sides of axillae treated,good malodor elimination was achieved in 239 sides,fair malodor elimination was achieved in 3 sides.All patients were satisfied with the therapeutic outcome.Conclusion Endoscope-assisted minimally invasive motor-driven suction cutter has the advantages of visualization,minimal invasive,reliable effect,less postoperative complications and high patient satisfaction,which is worthy of clinical promotion.

Key words: Axillary osmidrosis, Endoscope-assisted, Motor-dri

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