摘要
目的:观察微创腋臭术中在术区皮肤做多点铆式缝扎和开窗引流是否可以减少术后血肿的发生及对术区皮肤坏死的影响。方法:选择双侧腋臭患者,左右腋窝术区共210个,每个患者左右两侧随机抽签分为处理组A组和对照组B组,均进行小切口大汗腺剪除术,A组采用术区皮肤的多点铆式缝扎及戳眼开窗引流;B组只自切口放置引流条,余处理相同。结果:A组血肿发生率5.71%,皮肤坏死发生率6.67%;B组血肿发生率20.95%,皮肤坏死发生率17.14%。A、B两组血肿及皮肤坏死发生率差异均有显著性。结论:在微创腋臭术中采用多点铆式缝扎和开窗引流可以降低血肿和皮肤坏死的发生率。
Objective To observe whether multiple riveting suture and fenestration in underarm odour operation can reduce the incidence rate of hematoma and skin necrosis.Methods To select bilateral axillary osmidrosis patients.Left and right axillary surgery area has a total of 210.Each of the patients with left and right sides of a random draw is divided into treatment group A and control group B.Start with small incision apocrine cut off operation.Group A using the method is that multiple riveting suture and fenestration in underarm odour operation;Group B just place drainage strip through the incision,other treatment is the same.Results Group A:The occurrence rate of hematoma 5.71%,the incidence of skin necrosis 6.67%.Group B:The occurrence rate of hematoma 20.95%,the incidence of skin necrosis 17.14%.Two groups of hematoma and skin necrosis occurring rate are significant difference.Conclusion The occurrence rate of hematoma and skin necrosis will be reduced through multiple riveting suture and fenestration in underarm odour operation.
出处
《中国美容医学》
CAS
2012年第12X期3-4,共2页
Chinese Journal of Aesthetic Medicine
关键词
腋臭
大汗腺
微创
铆式
引流
血肿
坏死
underarm odour
apocrine sweat gland
riveting suture
drainage
hematoma
necrosis
