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0.5~1cm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。
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.
作者
肖霞
张柔
杨锋
杨军
贺召丽
刘烨
XIAO Xia;ZHANG Rou;YANG Feng;YANG Jun;HE Zhaoli;LIU Ye(Department of Burn and Plastic Surgery,The Second Affiliated Hospital of South China University,Hengyang 421001,China;Department of Plastic and Reconstructive Surgery,Shanghai Ninth People's Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200001,China;Department of Burn and Plastic Surgery,Tengzhou Central People's Hospital,Zaozhuang 277500,China;Department of Plastic Surgery,The First Affiliated Hospital of Anhui Medical University,Hefei 230224,China)
出处
《组织工程与重建外科杂志》
2019年第3期179-181,共3页
Journal of Tissue Engineering and Reconstructive Surgery
关键词
腋臭
内窥镜辅助
电动负压吸割器
Axillary osmidrosis
Endoscope-assisted
Motor-driven negative pressure suction cutter
