改良腋臭切除术及小切口顶泌汗腺清除术治疗腋臭51例.docVIP

改良腋臭切除术及小切口顶泌汗腺清除术治疗腋臭51例[摘要]的:探索治疗腋臭较为合理的手术方法。方法:轻、中度腋臭采用小切口顶泌汗腺清除术,重度采用改良腋臭切除术。结果:29例小切口顶泌汗腺清除术,术后8～15个月随访27例,25例痊愈,2例有效。改良腋臭切除术22例,术后8～15个月随访18例均痊愈。结论:小切口顶泌汗腺清除术有效、美观、安全,改良腋臭切除术治愈率高,瘢痕不显,无功能障碍。 [关键词]腋臭;改良切除;小切口;清除术 [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2010)07-0972-02 Improvement of osmidrosis and mini-incision apocrine metasses hircismus 51cases LIU Xi,HE Long,LIAO Zi-li (1. E.N.T.Department of Dujiangyan City’s Hospital, Dujiangyan611830,Sichun,China;2.Department of Surgery, Red Cross Hospital,Dujiangyan 611830,Sichuan,China) Abstract:ObjectiveExploration treatment underarm odor more reasonable surgery method.MethodsLight,the moderate underarm odor uses the small mouth armpit to go against secretes the sweat gland to eliminate the technique, the specific weight uses the improvement underarm odor excision method.Finally,29 cases small margin armpit goes against secretes the sweat gland to eliminate the technique, the technique latter 8～15 months makes a follow-up visit 27 cases, 25 cases healings, 2 cases are effective.The improvement underarm odor excision method 22 cases, the technique latter 8～15 months make a follow-up visit 18 cases to convalesce.ConclusionThe small margin goes against secretes the sweat gland to eliminate the technique effectively, is artistic, is safe, the improvement underarm odor excision method cure rate is high, the scar reduces obviously, non-function barrier. Key words:Underarm odor; improvement excision; small margin;elimination technique 腋臭对患者健康并无大碍,但影响社交、生活和工作,心理负担重,严重者会导致心理障碍,故应极早治疗。因人们生活水平的提高和对美的追求,患者对疗效的要求较高,不但要去除臭味,而且要保持腋窝的美观,传统的腋臭切除术已不能满足上述要求。笔者参考相关资料,采用改良腋臭切除术和小切口顶泌汗腺清除术治疗腋臭51例,取得较好效果,现报道如下。 1 临床资料 1.1 资料来源及一般资料:都江堰市人民医院五官科美容组门诊和都江堰市红十字会医院门诊外科2008年10月～2009年7月腋臭手术病例共51例。男21例,女30例,年龄18～40岁,轻度3例,中度26例,重度22例。 1.2纳入标准:临床确诊为腋臭,未接受过手术治疗,患者知情和自愿。排除标准:凝血功能、肝肾功能障碍,孕妇和哺乳期妇女,未成年患者,腋窝有感染灶者。剔除标准:不遵守医嘱定期随访或资料不全者。 1.3腋臭分度:在密闭室内常温下,患者坐位检查,将腋臭分为轻、中、重三度。轻度:用手擦拭或距腋窝10cm内能闻及轻度臭味;中度:裸露腋部30cm以外闻到轻度臭味;重度:患者着衬衣距腋部30