腋下搔刮联合负压抽吸治疗腋臭及临床组织学依据
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摘要
目的探讨腋下搔刮联合负压抽吸治疗腋臭及临床组织学依据。方法腋下搔刮联合负压抽吸清除破坏顶泌腺,术中局部取材做病理切片寻求组织学证据。结果 30例患者治愈20例(66.6%)、有效7例(23.3%)、显效3例(1.0%)、无效0例,所有患者术后术区皮肤存活良好。结论腋下搔刮联合负压抽吸治疗腋臭疗效确切,组织学观察证据明确。
Objective To investigate the therapeutic effects and histological basis of armpit scrapping combined with negative pressure aspiration in treatment of osmidrosis.Methods The apocrine glands of patients with osmidrosis were destroyed by armpit scrapping combined with negative pressure aspiration,and the histopathological sections were obtained during operation for histological evidence. Results Among 30 patients with osmidrosis, 20 patients(66%) were cured, 7 patients were valid(23%), 3 patients were excellent(1%), and 0 patient was invalid(0). All the patients had good skin survival in surgical site after operation. Conclusion The armpit scrapping combined with negative pressure aspiration is effective in treating osmidrosis,with definite histological evidence.
Objective To investigate the therapeutic effects and histological basis of armpit scrapping combined with negative pressure aspiration in treatment of osmidrosis.Methods The apocrine glands of patients with osmidrosis were destroyed by armpit scrapping combined with negative pressure aspiration,and the histopathological sections were obtained during operation for histological evidence. Results Among 30 patients with osmidrosis, 20 patients(66%) were cured, 7 patients were valid(23%), 3 patients were excellent(1%), and 0 patient was invalid(0). All the patients had good skin survival in surgical site after operation. Conclusion The armpit scrapping combined with negative pressure aspiration is effective in treating osmidrosis,with definite histological evidence.
引文
1 张克勤,魏明.腋窝顺皮纹平行切口治疗腋臭并发症的防治.中国美容整形外科杂志,2013,24:369-370.
2 张郑,李亮.腋窝皱襞切口薄皮瓣法治疗腋臭的研究.中国临床实用医学2010,4:87-88.
3 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.中华皮肤科杂志,2011,44:896.897.
4 杜飞亚,虞渝生,黄新建,等.肿胀麻醉下微切口负压抽刮法治疗腋臭110例.中华皮肤科杂志,2011,44:447.448.
5 赵永刚,范金财,李少伟,等.顺腋纹小切口腋臭根治术几个问题的探讨.中国美容整形外科杂志,2011,22:419-421.
6 Liu Q,Zhou Q,Song Y,et al.Surgical subcision as a cost-effective and minimally invasive treatment for axillary osmidrosis. J Cosmet Dermatol,2010,9:44-49.
7 kim IH,Seo SL,Seo SI,et al.Minimally invasive surgery for axillary osmidrosis:combined operation with CO2 laser and subcutaneous tissue remover.Dermatologic Surgery:official publication for American Society for Dermatologic Surgery.Dermatol Surg,1999,25:875-879.
8 夏群力,郑捷.32例腋臭剥离搔刮术临床分析.中国麻风皮肤病杂志,2004,20:451-452
9 陈剑名,杨镇生,黄海滨.小切口修剪顶泌汗腺治疗腋臭的技术要点探讨.中国美容医学,2010,19:1115-1117.
10 席庆春,吴梅,注娥.肿胀麻醉小切口大汗腺清除术治疗腋臭.齐齐哈尔医学院学报,2008,29:1313-1314.
11 汤晓芙,王荫椿主编.肉毒毒素临床治疗手册.第1版.北京:人民卫生出版社.2005.199-205.
12 刘秀峰,潘文东,陈永新,等.小切口皮下修剪法联合打包固定治疗腋臭并发症分析.中国美容医学,2011,20:1529-1530.
13 Qian JG,Wang XJ.Effectiveness and complications of subdermal exci- sion of apocrine glands in 206 cases with axillary osmidrosis.J Plast Reconstr Aesthet Surg,2010,63:1003-1007.
14 蔡湘娜,许宏权,李宏生,等.改良小切口皮下修剪法腋臭根治术的并发症分析及临床疗效评估.中国美容医学,2012,21:1486-1488.
2 张郑,李亮.腋窝皱襞切口薄皮瓣法治疗腋臭的研究.中国临床实用医学2010,4:87-88.
3 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.中华皮肤科杂志,2011,44:896.897.
4 杜飞亚,虞渝生,黄新建,等.肿胀麻醉下微切口负压抽刮法治疗腋臭110例.中华皮肤科杂志,2011,44:447.448.
5 赵永刚,范金财,李少伟,等.顺腋纹小切口腋臭根治术几个问题的探讨.中国美容整形外科杂志,2011,22:419-421.
6 Liu Q,Zhou Q,Song Y,et al.Surgical subcision as a cost-effective and minimally invasive treatment for axillary osmidrosis. J Cosmet Dermatol,2010,9:44-49.
7 kim IH,Seo SL,Seo SI,et al.Minimally invasive surgery for axillary osmidrosis:combined operation with CO2 laser and subcutaneous tissue remover.Dermatologic Surgery:official publication for American Society for Dermatologic Surgery.Dermatol Surg,1999,25:875-879.
8 夏群力,郑捷.32例腋臭剥离搔刮术临床分析.中国麻风皮肤病杂志,2004,20:451-452
9 陈剑名,杨镇生,黄海滨.小切口修剪顶泌汗腺治疗腋臭的技术要点探讨.中国美容医学,2010,19:1115-1117.
10 席庆春,吴梅,注娥.肿胀麻醉小切口大汗腺清除术治疗腋臭.齐齐哈尔医学院学报,2008,29:1313-1314.
11 汤晓芙,王荫椿主编.肉毒毒素临床治疗手册.第1版.北京:人民卫生出版社.2005.199-205.
12 刘秀峰,潘文东,陈永新,等.小切口皮下修剪法联合打包固定治疗腋臭并发症分析.中国美容医学,2011,20:1529-1530.
13 Qian JG,Wang XJ.Effectiveness and complications of subdermal exci- sion of apocrine glands in 206 cases with axillary osmidrosis.J Plast Reconstr Aesthet Surg,2010,63:1003-1007.
14 蔡湘娜,许宏权,李宏生,等.改良小切口皮下修剪法腋臭根治术的并发症分析及临床疗效评估.中国美容医学,2012,21:1486-1488.