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改良微创手术治疗128例腋臭患者临床分析 被引量:19

Clinical evaluation of modified minimally invasive surgical treatment of axillary osmidrosis in 128 patients
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摘要 目的:探讨采用改良微创手术方法治疗128例腋臭患者的临床疗效。方法:2009年1月~2011年5月,对128例腋臭患者256侧腋窝采用改良微创手术治疗。方法为沿腋皱襞1cm切口,剪除术区范围包含大汗腺在内的一定厚度的皮下组织至皮肤近似全厚皮,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弹力自粘绷带加压包扎。结果:术后随访6~18个月,256侧腋部中251侧气味消除效果好,5侧为一般,0个为差。所有患者术后效果满意。结论:改良小切口微创手术方法具有外形美观、无功能障碍、操作简便、创伤小、疗效可靠、并发症少的特点,患者满意度高,值得临床推广。 Objective To investigate the curative effect of modified minimally invasive surgical treatment of axillary osmidrosis. Methods From January 2009 to May 2011,128 patients with axillary osmidrosis were given a modified minimally invasive surgical treatment. A 1 cm incision was made in the axillary crease.Subcutaneous tissue and glands were excised with manually excision only through 1 cm incision until the axilla essentially became a full skin flap.Scraping and rinsing the operation space.Then the skin was to be punched and fixed with vaseline gauze nail. After operation,compressive bandaging with elastic adhesive bandage were performed: Results After 6-18months follow-up, Malodor elimination was good in 251 of 256 axillae treated,fair in 5, and poor in 0.All patients feel satisfied with the aesthetic outcome. Conclusion Modified minimally invasive surgical treatment of axillary osmidrosis results in beautiful aesthetic shape,little trauma, high patients satisfication with no dysfunction and few complications. It is convenient,efficient and which should be popularized.
出处 《中国美容医学》 CAS 2013年第2期246-248,共3页 Chinese Journal of Aesthetic Medicine
关键词 腋臭 改良 微创 osmidrosis modified minimally invasive
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