腋窝皮肤皱襞切口超薄皮瓣法治疗腋臭

doi:10.3969/j.issn.1009-976X.2015.03.018

岭南现代临床外科 ›› 2015, Vol. 15 ›› Issue (03): 308-310.DOI: 10.3969/j.issn.1009-976X.2015.03.018

腋窝皮肤皱襞切口超薄皮瓣法治疗腋臭

梁伟强冀晨阳张金明姚媛媛陈宇宏张佳琦

1. 中山大学孙逸仙纪念医院
2. 中山大学附属孙逸仙纪念医院

通讯作者: 张金明

Effect of ultrathin flap through axillary skin crease incision for treatment of axillary osmidrosis

Liang Weiqiang, Ji Chenyang, Zhang Jinming, Yao Yuanyuan, Chen Yuhong, Zhang Jiaqi

Received:2015-04-02 Revised:2015-04-07 Online:2015-06-20 Published:2015-06-20

摘要/Abstract

摘要： 【摘要】〓目的〓评估腋窝皮肤横形皱襞切口超薄皮瓣法治疗腋臭的临床效果。方法〓2012年4月至2014年8月对87例腋臭患者,采用腋窝皮肤横形皱襞1~2个长2.5~3 cm切口,浅筋膜层分离并掀起皮瓣,直视下修剪去除大汗腺组织并保留真皮下血管网,形成超薄皮瓣的方法治疗腋臭。结果〓除2例患者约2 mm宽皮缘轻微裂开、1例出现轻度瘢痕增生外,其余患者伤口愈合良好,均无血肿、积液、感染、伤口裂开、皮瓣坏死等发生。随诊6~12月,全部患者双侧腋窝无异味残留,腋毛明显减少,外观良好,效果满意。结论〓腋窝皮肤横形皱襞切口直视下超薄皮瓣法治疗腋臭,手术操作简单,成功率高、并发症少,为安全而有效的腋臭治疗方法。

关键词: 腋臭, 外科皮瓣

Abstract: 【Abstract】〓Objective〓To evaluate the clinical therapeutic effect of ultrathin flap through axillary skin crease incision for the treatment of axillary osmidrosis. Methods〓From April 2012 to August 2014, 87 patients underwent the removal of apocrine sweat glands in the axillary superficial fascia through one to two incisions with 2.5 to 3 cm length on the axillary crease, and the surgical procedure remained the subdermal vascular network for ultrathin flap. Results〓All patients healed well without hematoma, hydrops, infections, incision dehiscence or flap necrosis, except two patients with slight surgical margins cracks and one case with slightly scar hypertrophy. Followed up for 6 to 12 months, almost all the body odours disappeared with axillary hair decrease. Conclusion〓The procedure of ultrathin flap through axillary skin crease incision is a safe and effective method to treat axillary osmidrosis with high success rate and few complications.

Key words: Osmidrosis, Surgical flap

中图分类号:

R622+.1

梁伟强冀晨阳张金明姚媛媛陈宇宏张佳琦. 腋窝皮肤皱襞切口超薄皮瓣法治疗腋臭[J]. 岭南现代临床外科, 2015, 15(03): 308-310.

Liang Weiqiang, Ji Chenyang,Zhang Jinming, Yao Yuanyuan,Chen Yuhong, Zhang Jiaqi. Effect of ultrathin flap through axillary skin crease incision for treatment of axillary osmidrosis [J]. Lingnan Modern Clinics in Surgery, 2015, 15(03): 308-310.

参考文献

[1]Chen H, Yang G, Li Y, et al.Expression of apolipoprotein D and androgen receptor in axillary osmidrosis and its molecular mechanism[J].Int J Clin Exp Med, 2013, 6(7):497-503
[2]亓发芝.腋臭[J].实用美容整形外科杂志, 2002, 13(1):55-56
[3]秦瑞雨，孙晓琦.型肉毒毒素皮内注射治疗腋臭[J].中华整形外科杂志, 2013, 29(4):309-310
[4]Kim D, Kim J, Yeo H, et al.Treatment of axillary osmidrosis using a subcutaneous pulsed Nd-YAG laser[J].Arch Plast Surg, 2012, 39(2):143-149
[5]何建群，张永生，丁华兵，等.肿胀麻醉刮吸微创法在重度腋臭患者的治疗应用[J].中国美容医学, 2012, 21(z2):1-
[6]崔东明，肖光辉，李金有.旋切术对女性腋毛增多症及合并腋臭的治疗[J].岭南现代外科, 2014, 14(2):168-169
[7]李菊妹，刘小舒，王屋金，等.腋臭手术范围与疗效相关性的初步探讨[J].中华整形外科杂志, 2005, 21(3):239-240
[8]Li Y, Li W, Lv X, et al.A refined minimally invasive procedure for radical treatment of axillary osmidrosis: Combined tumescent liposuction with subcutaneous pruning through a small incision[J].J Plast Reconstr Aesthet Surg, 2012, 65(11):e320-321
[9]郭科，孙家明，冯晓玲，等.大汗腺盲视下刮除和直视下剔除两种方式治疗腋臭的临床对比研究[J].中国美容医学, 2012, 21(2):203-205
[10]黄海滨，林春招，陈剑名，等.腋皱襞小切口手术治疗腋臭[J].中国美容整形外科杂志, 2009, 20(10):613-615
[11]Qian JG, Wang XJ.Effectiveness and complications of subdermal excision of apocrine glands in 206 cases with axillary osmidrosis[J].J Plast Reconstr Aesthet Surg, 2010, 63(6):1003-1007
[12]张克勤，魏明.腋窝顺皮纹平行切口治疗腋臭并发症的防治[J].中国美容整形外科杂志, 2013, 24(6):369-370
[13]刘厚生，潘菊，康春雨，等.小切口皮下修剪联合腔镜下点灼治疗腋臭[J].中华皮肤科杂志, 2011, 44(12):896-897
[14]杜晓扬，水庆付，褚燕军，等.保留真皮下血管网行腋臭微创腺体剥脱术[J].安徽医科大学学报, 2007, 42(3):331-332
[15]Ding Z, Zheng J.A comparison of two different sub-dermal trimming techniques for the treatment of axillary osmidrosis[J].J Plast Reconstr Aesthet Surg, 2013, 66(11):1569-1574
[16]熊玮，黄婉英，黄珍珍，等.注重手术技巧减少小切口超薄皮瓣修剪法腋臭根治术后并发症[J].广东医学, 2010, 31(11):1451-1452

腋窝皮肤皱襞切口超薄皮瓣法治疗腋臭

Effect of ultrathin flap through axillary skin crease incision for treatment of axillary osmidrosis

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 1

编辑推荐

Metrics