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肿胀麻醉技术联合浅筋膜旋转磨消术治疗腋臭的临床分析

Clinical analysis of tumescent anesthesia technique combined with superficial fascia rotational atherectomy in axillary bromhidrosis.

作者信息

Shi Yong-Ping, Li Ju-Hong, Wang Yu, Wu Yanfei

机构信息

Department of Burn and Plastic Surgery, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing, Zhejiang 314001, P.R. China.

'120' Dispatching Center, Jiaxing Emergency Medical Center, Jiaxing, Zhejiang 314001, P.R. China.

出版信息

Exp Ther Med. 2023 Apr 20;25(6):266. doi: 10.3892/etm.2023.11965. eCollection 2023 Jun.

Abstract

Axillary bromhidrosis, which involves the apocrine sweat glands, severely affects adolescents. The present study aimed to evaluate the effect of tumescent anesthesia technique combined with superficial fascia rotational atherectomy treatment for axillary bromhidrosis. The present retrospective study included a total of 60 patients with axillary bromhidrosis. These patients were divided into experimental and control groups. Patients in the control group were treated using the tumescent anesthesia technique combined with conventional surgery, while patients in the experimental group were treated using the anesthesia technique combined with superficial fascia rotational atherectomy. The intraoperative blood loss, operation time, histopathological examination and dermatology life quality index (DLQI) score were used to assess the treatment effect. The intraoperative blood loss and operation time were significantly lower in the experimental group compared with the control group. The histopathological results revealed that the sweat gland tissues in experiment group significantly decreased compared with that in control group. Furthermore, there was a significant improvement in axillary odor degree for postoperative patients, and the DLQI scores in experiment group were significantly lower compared with those in control group. The tumescent anesthesia technique combined with superficial fascia rotational atherectomy is a promising approach to treating patients with axillary bromhidrosis.

摘要

累及顶泌汗腺的腋臭严重影响青少年。本研究旨在评估肿胀麻醉技术联合浅筋膜旋转旋切术治疗腋臭的效果。本回顾性研究共纳入60例腋臭患者。这些患者被分为实验组和对照组。对照组患者采用肿胀麻醉技术联合传统手术治疗,而实验组患者采用该麻醉技术联合浅筋膜旋转旋切术治疗。术中失血量、手术时间、组织病理学检查和皮肤病生活质量指数(DLQI)评分用于评估治疗效果。与对照组相比,实验组的术中失血量和手术时间显著更低。组织病理学结果显示,实验组的汗腺组织与对照组相比显著减少。此外,术后患者的腋窝气味程度有显著改善,且实验组的DLQI评分与对照组相比显著更低。肿胀麻醉技术联合浅筋膜旋转旋切术是治疗腋臭患者的一种有前景的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/10189752/9654e852f038/etm-25-06-11965-g00.jpg

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