改良小切口吸脂刮除术治疗腋臭的疗效及并发症
Effectiveness and Complications of Improved Liposuction-Curettage Through Mini-Incisions for the Treatment of Axillary Osmidrosis.
作者信息
Yang Hu, Xu Gang, Huang Chun-Lan, Xia Ying, Wang Xiao-Wei, Chen Qiang, Wang Shou-Jie, Zhang Li-Yun, Tan Wei-Qiang
机构信息
Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People's Republic of China.
Department of Plastic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People's Republic of China.
出版信息
Plast Surg (Oakv). 2017 Nov;25(4):234-241. doi: 10.1177/2292550317728038. Epub 2017 Sep 20.
BACKGROUND
Liposuction-curettage (LC) is a popular and effective surgical method for the treatment of axillary bromhidrosis (AB). However, residual malodour and skin necrosis often appear after this type of surgery. We investigated the efficacy and complications of 4 methods of LC.
METHODS
A total of 280 patients with AB comprised the study cohort, of which 228 were followed up. We carried out 4 methods of modified tumescent LC through mini-incisions and provided a questionnaire for evaluation of surgical outcome. Evaluations were malodour elimination, scarring, reduced growth of hair, and complications. Mean follow-up was 15 months.
RESULTS
The study involved 449 axillae. In patients with LC in the final phase of improvement (programmed and well-organized LC, skin pinching to wrap up the cannula, LC to the skin around 2 surgical incisions, and cotton balls packed in gauze and an elastic set for post-operative management), excellent elimination of malodor was observed in 141 (89.81%) of 157 axillae. Only 4 (2.55%) cases encountered a small area of skin necrosis, and 28 (17.83%) had local damage to the epidermis.
CONCLUSION
These data suggest that LC with a final phase of improvement through mini-incisions is effective for AB treatment.
背景
抽脂刮除术（LC）是治疗腋臭（AB）的一种常用且有效的手术方法。然而，这类手术后常出现残留异味和皮肤坏死的情况。我们研究了4种抽脂刮除术方法的疗效及并发症。
方法
共有280例腋臭患者组成研究队列，其中228例接受了随访。我们通过小切口实施了4种改良肿胀抽脂刮除术，并提供了一份问卷以评估手术效果。评估内容包括异味消除情况、瘢痕形成、毛发减少情况及并发症。平均随访时间为15个月。
结果
该研究涉及449个腋窝。在采用改良终末期抽脂刮除术的患者中（程序化且组织良好的抽脂刮除术，皮肤捏起包裹套管，对两个手术切口周围皮肤进行抽脂刮除，术后用棉球填充纱布并使用弹力绷带），157个腋窝中有141个（89.81%）异味消除效果极佳。仅有4例（2.55%）出现小面积皮肤坏死，28例（17.83%）有局部表皮损伤。
结论
这些数据表明，通过小切口进行改良终末期抽脂刮除术治疗腋臭是有效的。
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