皮片翻转器及医用削刮修整器用于腋臭根治临床探究.doc

皮片翻转器及医用削刮修整器用于腋臭根治临床探究[摘要]目的：探讨在腋臭根治术中如何快速清除皮下组织、顶泌汗腺和大小汗腺。方法：用皮片翻转器[1]翻转皮肤，用医用削刮修整器[2] （图1）削刮清除皮下组织、顶泌汗腺和大小汗腺。结果：用皮片翻转器翻转皮肤，用医用削刮修整器在直视下削刮清除皮下组织、顶泌汗腺和大小汗腺，皮下组织、顶泌汗腺和大小汗腺清除彻底，手术进度快。结论：皮片翻转器和医用削刮修整器是在直视下快速清除皮下组织、顶泌汗腺和大小汗腺的一套很好用的组合器械。 [关键词]皮片翻转器；医用削刮修整器；顶泌汗腺；大小汗腺；皮片回植法；腋臭 [中图分类号]R758.74+1[文献标识码]A[文章编号]1008-6455（2011）10-1501-03 Leather piece flip transmitters and medical cutting scrape trim used in sweat glands cleared the clinical research LIU Wei-zhong,FU Guo,LI Yu-ming,WANG Xian-zhu,KONG Zhi-hua (Guangdong Province Cooperation of Chinese and Western Medicine Hospital Reshaping Branch,Foshan 582200,Guangdong,China) Abstract:ObjectiveIn the way of how to explore with quick removal subcutaneous tissue,the top secrete sweat glands and size sweat glands.MethodsUse of the skin over [1] flip skin,use medical cut scraping the dressing is[2] (figure 1) cut scraping the clear subcutaneous tissue, the top secrete sweat glands and size sweat glands.ResultsWith skin grafts for skin,flip over with medical cut is a direct blow nap in cutting scraping the clear subcutaneous tissue,the top secrete sweat glands and size sweat glands, subcutaneous tissue,the top secrete sweat glands and size clear thoroughly, the sweat gland surgery pace.ConclusionSkin of the flip and medical cut the wind is in shaping a direct quickly get rid of subcutaneous tissue,the top secrete sweat glands and size of sweat gland a nice combination instrument. Key words: leather piece flip device；medical cutting scrape trim device；top secrete sweat glands；size sweat glands；leather piece back to plant method；underarm odour 治疗腋臭的方法很多，有手术和非手术的方法，还有用微波[3]、激光[4]等方法治疗腋臭的，但目前，通过手术方法去除部分腋部皮肤组织仍是公认的根治腋臭症的最佳方法[5]，国内首先推广这种方法的是梭形切除原位植皮法[6]，后来派生出很多保留腋窝部皮肤的腋臭根治术，腋后线“W”形小切口腋臭剥离术[7]、改良“Z”形切口根治术治疗腋臭[8]、腋纹小切口超薄皮瓣法治疗腋臭[9]、微创手术治疗腋臭[10]、保留真皮下血管网皮瓣法治疗腋臭[11]、经小切口皮下修剪联合浅筋膜切除治疗腋臭[12]、顺腋纹小切口超薄皮瓣法腋臭根治术[13]、小切口中厚皮瓣联合弹力绷带包扎腋臭根治[14]等手术。不管用什么方法，最重要的是要清除顶泌汗腺和大小汗腺[15]。自2007年～2010年作者用在腋窝部有腋毛分布范围的中段作一个至两个皮纹切口，将有腋毛分布的皮肤作皮下组