资源描述:
《皮下磨削术治疗腋臭》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、皮下磨削术治疗腋臭[摘要]目的:探讨皮下磨削方法治疗腋臭的临床效果。方法:15例患者,共30狈9。每一侧皮下及真皮层各注射60〜100讯肿胀麻醉液,局部麻醉。30侧全部取腋窝皱褶切口长2〜3cm,在浅筋膜层的浅层用皮刀刺入,剥离皮瓣,剥离范围到达腋毛区外lcm,皮瓣下需带有皮下脂肪。反转皮瓣,剪除皮瓣下脂肪层,将高速电动磨削机的金属磨削头伸入到皮瓣下,挑起皮瓣并绷紧,按顺序均匀磨削成全厚皮瓣。结果:15例30侧全部愈合,无皮瓣坏死。随访6~12月无复发,瘢痕不明显,几乎无腋毛生长,无臭味。结论:皮下磨削术治疗腋臭,手术时间短,治疗效果彻底,切口小,几乎无瘢痕,美容效
2、果佳。[关键词]腋臭;大汗腺;磨削术;皮下;皮瓣[中图分类号]R75&74+1[文献标识码]A[文章编号J1008-6455(2014)17-1415-03TreatmentofaxillaryosmidrosisbyusingsubcutaneousabrasionmothodLIUHui-minl,ZHANGJin2,YANGPingl,BAIHai-yal,LUJun-yangl,GONGXiao-junl(1.DepartmentofPlasticSurgery,GansuProvinceMaternityandChildCareHospital,Lanzh
3、ou300050,Gansu,China;2.DepartmentofPlasticSurgery,TheSecondHospitalofLanzhouUniversity)Abstract:ObjectiveToinvestigatethecurativeeffectofsubcutaneousabrasiontreatmentofaxillaryosmidrosis.MethodsToinject60~100mltumescentsolutiontoeverysubcutaneousanddermisside.The2~3cmincisionwasmadeina
4、rmpitwrinklefor30sidesof15patients・Cutinthesuperficiallayerofthesuperficialfascialplaneswiththedermatometopeeltheflapoff.Thepeelingoffareawasreachedtolcmoutsideofarmpithair.Undertheflap,subcutanoousfattyshouldbecarriedwith.Reversetheflap,cutthefattylayerunderneath.Provoketheflapandstre
5、tchtight,usethehighspeedelectricabrasionmachinetogrindthefullskinflapevenlyinturns.Results30sidesof15patientsallhealed,noflapnecrosis.After6~12monthsfollow-up,norecur,thescarwasnotobvious,nearlynoarmpithairgrewupandnosmell.ConclusionWiththesubcutaneousabrasiontreatment,theoperationtime
6、isshortwithlittletrauma.Treatmenteffectisthoroughly,nearlynoscarleftandhaveabeautifulaestheticshape.Keywords:axillaryosmidrosis;apocrineglands;abrasion;subcutaneous;flap腋臭属于显性基因遗传性疾病,产生的特殊臭味,给人一种不愉快的感觉,使人避而远Z,给患者带来精神、心理上的负担[1-2]。2012年8月〜2013年12月,笔者科室采用皮下磨削的方法清除大汗腺,治疗腋臭患者15例(共30侧),取得了满意
7、疗效,现报道如下。1临床资料1.1-般资料:本组15例(共30侧),男4例,女11例,年龄16〜33岁(平均23岁),其屮1例为激光治疗不佳者,4例为搔刮术不彻底者。术前医护人员距患者20cm外能闻到明显异味,确诊为腋臭。腋部皮肤局部无急性炎症,无腋下淋巴结肿大,出凝血时间正常,女性患者手术避开月经期。1.2设备:皮肤微型电动磨削机,最大转速为35000r/min,无极变速,金刚砂橄榄磨头。1・3疗效判定标准[1]:治愈:出汗后距腋部20cm内无臭味,汗液明显减少;显效:出汗后腋部20cm外无臭味,汗液明显减少;有效:出汗后腋部20cm以外可闻到臭味及腋汗减少,