头皮针引流管加缝线固定法在小切口腋臭根治术中应用.docVIP

头皮针引流管加缝线固定法在小切口腋臭根治术中应用[摘要]目的:探索出一种能有效减少腋臭术后并发症的方法。方法:在双上臂内侧腋毛区外1cm及在腋窝中部顺皮肤皱襞各设计一1～1.5cm的切口,分离腋毛区及区外1cm皮下,去除汗腺及毛囊,皮肤修薄成全厚皮。术毕放置头皮针引流管,剥离区内将皮片与皮下用1号缝线间断缝合, 8字绷带加压包扎。结果:本组共50例,其中9例为在外院治疗后复发者,术后均无血肿等并发症,随访0.5～1年,瘢痕不明显。结论:头皮针引流管加缝线固定法在小切口根治腋臭中可有效减少并发症,提高手术效果。 [关键词]引流管;缝线固定;小切口;腋臭 [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2010)02-0156-02 Using scalp acupuncture as drainage tube and suture-fixation method in the treatment of axillary osmidrosis through a small incision PAN Kui1,CHEN Bing2,LIU Hai-xia1 (1.Department of Plastic and Cosmetic Suegery,LouDi People’s Hospital,Loudi 417000, Hunan,China;2.DepartmentofPlastic and Cosmetic Suegery,Zhujiang Hospital of Nanfang Medical University,Guangzhou 541000,Guangdong,China) Abstract:ObjectiveTo investigate a solution for reducing complications of axillary osmidrosis resection.MethodsTwo 1cm-long skin incisions were made, one was on the axillary crease and another was 1cm out of the axillary hair growth area. Subdermal undermining was performed in the axillary hair growth area and 1cm outside. After removing apocrine glands and hair follicles, the skin was closed with 1-0 sutures with anchoring to the subcutaneous tissues. A drainage tube was placed. 8-shaped compression dressing was given to each axilla. ResultsOf the 50 cases, no hematoma or other complications happened after operation. No obvious scars were observed in the six months to one year followed up.ConclusionThis solution is effective in reducing complications of axillary osmidrosis resection. Key words: drainage pipe; suture fixation; small incision; axillary osmidrosis 腋臭严重影响患者的社交,往往给其造成一定的心理压力,目前认为手术祛除大汗腺是唯一有效的根治办法[1-2]。其中小切口根治腋臭瘢痕小,患者易于接受,但往往易出现血肿、积液等并发症[3]。笔者2008年7月～2009年8月在小切口根治腋臭手术中应用头皮针引流管加缝线固定,取得了满意的效果, 现报道如下。 1资料和方法 1.1 一般资料:本组共50例,男11例,女39例,年龄18～42岁,平均年龄(23.08±5.87)岁,均为双侧同时手术。其中6例为外院手术术后复发者,3例为非手术治疗后复发者。 1.2 手术方法 1.2.1 术前准备及手术设计:术前血常规、凝血四项检查正常;女性避开经期。采用平卧位,患者双上肢外展,双手枕于脑后;用美蓝沿腋毛区外1cm画一标记线,在双上臂内侧腋毛区外1cm处及在腋窝中部顺皮肤皱襞各设计一0.5～1cm切口