| 邹普功,李长明,王 剑.顺腋窝皮纹美容切口治疗腋臭56例疗效观察[J].中国烧伤创疡杂志,2015,(2):144~146. |
| DOI： |
| 中文关键词: 顺腋窝皮纹 美容切口 腋臭 疗效 |
| 英文关键词:Axillary dermatoglyph Cosmetic incision Bromhidrosis Curative effect |
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| 中文摘要: |
| 目的 总结、探讨顺腋窝皮纹美容切口治疗腋臭的临床疗效。方法 对2012年3月-2013年2月就诊的56例不同程度的腋臭患者，在局部肿胀麻醉下顺腋窝皮纹做美容切口，并用腋臭刮匙刮除或眼科剪剪除局部汗腺、脂肪球及汗腺导管，观察治疗效果。结果 56例患者中，3例患者术后出现血肿，但其中2例患者于术后48 h清除血肿并加强换药后未影响伤口愈合；1例患者腋窝中央皮肤坏死，面积约1 cm×1.5 cm，于术后7 d行扩创缝合术后愈合；其余患者手术切口均顺利愈合，效果满意。3个月后复诊，所有患者手术切口均愈合良好，无瘢痕增生；除3例患者仍有轻微异味外，其余患者均无异味。结论 顺腋窝皮纹美容切口治疗腋臭效果满意，该术式简便易操作，患者满意度高，值得临床推广。 |
| 英文摘要: |
| Objective To investigate and summarize the curative effect of cosmetic incision along with axillary dermatoglyph in the treatment of bromhidrosis. Methods Fifty-six patients with bromhidrosis of different degrees admitted between March, 2012 and February, 2013 were treated with cosmetic incision along with axillary dermatoglyph after the topical anesthesia, in combination with scraping or scissoring off the local sweat glands, fat globules and sudoriferous ducts with curet or eye scissors. The curative effects were observed. Results Three patients of the 56 patients developed hematoma post-incision, of which, 2 patients were given hematoma resection 48 hours post-incision and the wound healed after strengthened dressing changes, while the other one patient developed skin necrosis in the center of axilla at a size of 1 cm×1.5 cm and the necrotic wound healed after the debridement and suture 7 days post-incision. The incisions of all the other patients got healed satisfyingly. The three-month follow-up showed the incision wounds of all the patients recovered excellently with no hypertrophic scar formation. All patients no longer had smell except three patients still with mild odors. Conclusion Cosmetic incision along with axillary dermatoglyph in the treatment of bromhidrosis can realize satisfying curative effects, in addition to its simple and easy operation, higher patients’ satisfaction, deserving to be promoted in clinic. |
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