三种手术方法治疗腋臭的临床分析

发布时间：2018-06-21 18:27

本文选题：腋臭 + 手术治疗　；参考：《山西医科大学》2011年硕士论文

【摘要】：目的：采用三种不同的清除大汗腺的手术方法对腋臭患者进行治疗,通过对比手术前后的气味、术后固定时间长短、瘢痕是否明显、其他的外科并发症(如血肿、皮瓣坏死、切口裂开和切口感染等)和复发率等因素,对其进行比较和综合评价,以探讨安全有效、创伤更小的祛除腋臭的手术方法。方法：对自2008年10月至2010年10月就诊于山西医科大学第一医院整形外科门诊的97例腋臭患者,分别采用腋窝皮肤梭形切除Z整形术、双平行切口皮下修剪术及腋皱襞小切口皮下修剪术等三种手术方法进行治疗,经过随访(随访时间6-24月),获得术后气味、手术时间、术后局部固定时间、瘢痕情况、手术并发症(血肿、皮瓣坏死、切口裂开、切口感染等)、远期复发等方面的资料,对其进行统计学分析,比较各种方法的临床疗效及并发症等,进而对其进行临床评估。结果： 1.腋窝皮肤梭形切除Z整形术、双平行切口皮下修剪术及腋皱襞小切口皮下修剪术治疗腋臭的总有效率和复发率无统计学差异； 2.双平行切口皮下修剪术的并发症发生率低于腋窝皮肤梭形切除Z整形术和腋皱襞小切口皮下修剪术； 3.腋窝皮肤梭形切除Z整形术的术后瘢痕明显,瘢痕增生及挛缩发生率高,常有上臂活动受限,而双平行切口皮下修剪术和腋皱襞小切口皮下修剪术的术后瘢痕均不明显。结论：对腋臭轻重程度不同、要求不一的患者,可选择合适的治疗方法。由于术后较低的复发率(3.8%)和并发症发生率(6.7%),术后瘢痕不明显,双平行切口皮下修剪术是目前较为理想的腋臭手术治疗方法。
[Abstract]:Objective: to treat patients with axillary osmidrosis by three different methods of removing sweat glands. By comparing the smell before and after operation, the length of fixation after operation, whether the scar is obvious or not, and other surgical complications (such as hematoma, flap necrosis, etc.) The factors such as incision split and wound infection) and recurrence rate were compared and evaluated in order to explore the safe and effective and less invasive surgical method to remove axillary odor. Methods: from October 2008 to October 2010, 97 patients with axillary osmidrosis were treated with axillary fusiform excision Z plastic surgery in the plastic surgery Department of the first Hospital of Shanxi Medical University. Two parallel incision subcutaneous pruning and axillary fold small incision subcutaneous pruning were followed up (follow up time 6-24 months) to obtain postoperative odour, operative time, postoperative local fixation time, scar condition, and so on. The data of surgical complications (hematoma, skin flap necrosis, incision split, incision infection, long term recurrence, etc.) were analyzed statistically, the clinical effects and complications of various methods were compared, and the clinical evaluation was carried out. Results: 1. There was no significant difference in the total effective rate and recurrence rate of axillary osmidrosis treated by double parallel incision subcutaneous pruning and axillary fold small incision subcutaneous pruning. 2. The complication rate of double parallel incision subcutaneous pruning was lower than that of axillary fusiform excision Z plasty and axillary fold small incision subcutaneous pruning. Axillary skin spindle excision Z operation had obvious scar, high incidence of scar hyperplasia and contracture, limited upper arm movement, but no obvious scar in double parallel incision subcutaneous pruning and axillary fold small incision subcutaneous pruning. Conclusion: for patients with different degree of axillary odor and different requirements, appropriate treatment methods can be selected. Because of the low recurrence rate of 3.8% and the complication rate of 6.7%, the scar is not obvious after operation. The double parallel incision subcutaneous pruning is an ideal method for the treatment of axillary odor.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R758.741

【参考文献】