顺腋纹小切口腋臭根治术并发症处理和分析.docVIP

顺腋纹小切口腋臭根治术并发症处理和分析 　　[摘要]目的:探讨顺腋纹小切口腋臭根治术后并发症出现的原因和处理方法。方法:回顾187例顺腋纹小切口腋臭根治术的病例资料,统计术后发生并发症的情况,分析其出现的原因,阐述防治措施。结果:187例患者中有26例发生术后并发症,其中血肿6例(3.21%),切缘愈合不良10例(5.35%),皮肤坏死2例(1.07%),异味残留8例(4.28%)。结论:顺腋纹小切口腋臭根治术具有创伤小、切口隐蔽、外形美观、无功能障碍的优点,术中操作规范,采取相应的措施可以减少并发症的发生。 　　[关键词]小切口;腋臭;并发症 　　[中图分类号]R622 [文献标识码]A [文章编号]1008-6455(2010)09-1277-03 　　 　　Analysis and treatment about postoperative complications on radical operation of axillary osmidrosis by a micro-incision along central crease of axillary 　　ZHANG Nan,XIAO Chang-ming,SUN Peng,LI Hong-zhang,YANG Kun 　　(Department of Burns and Plastic Surgery,the First Peoples Hospital of Neijiang,Neijiang 641000,Sichuan,China) 　　 　　Abstract:0bjectiveTo investigate the causes and the treatment strategies of postoperative complications on radical operation of axillary osmidrosis by a micro-incision along central crease of axillary.MethodsRetrospecting 187 clinic cases which accepted radical treatment of axillary osmidrosis by a small incision along central crease of axillary,analyzing the causes of postoperative complications and elaborating the means of prevention and treatment.ResultsAmong the 187 cases,26 cases had postoperative complications,including 6 cases of haematoma(3.21%),10 cases of the edge of cut healed badly(5.35%),2 cases of necrosis(1.07%)and 8 cases of relieved(4.28%).ConclusionsThe surgical technique has the merits of slight wound,inconspicuous incision,fine appearance and without dysfunction,postoperative complications could be decreased by standardizing the operations and adopting corresponding measures. 　　Key words: micro-incision; axillary osmidrosis; complications 　　 　　腋臭的主要症状是腋窝散发出恶臭难闻的气味,严重影响患者社会交往和生活,造成心理压力,甚至导致患者心理障碍。顺腋纹小切口腋臭根治术(又名小切口翻转大汗腺毛囊剪除皮肤原位回植术)是目前既有效,又美观、无功能障碍的治疗方法。我院烧伤整形科对187例腋臭患者实施顺腋纹小切口腋??根治术,疗效肯定,术后有少部分患者出现了并发症,笔者对所发生的并发症原因及处理方法进行分析总结,以期供同行参考,减少并发症的发生。 　　 　　1资料和方法 　　1.1 临床资料:2006年2月～2009年12月,门诊腋臭患者187例,男性45例,女性142例,年龄18～42周岁,平均年龄25.9岁,均为双侧腋臭,其中院外行皮下搔刮术后残留异味4例,经微波治疗后复发3例,CO2激光治疗后无效1例,其余为