[1]何佑成,郝晓艳,何 林,等.腋窝皱襞线小切口“直观下拿捏翻转”大汗腺剪除术治疗腋臭[J].中国美容医学,2024,(3):37-40.
　HE Youcheng,HAO Xiaoyan,HE Lin,et al.Excision of the Apocrine Glands by "Pinch and Turn-over Technique Under Direct Vision" Through A Small Incision at Midaxillary Crease for the Treatment of Axillary Osmidrosis?/html>[J].Medical Aesthetics and Beauty,2024,(3):37-40.
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腋窝皱襞线小切口“直观下拿捏翻转”大汗腺剪除术治疗腋臭()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年3期
页码:
37-40
栏目:
出版日期:
2024-03-10

文章信息/Info

Title:
Excision of the Apocrine Glands by "Pinch and Turn-over Technique Under Direct Vision" Through A Small Incision at Midaxillary Crease for the Treatment of Axillary Osmidrosis?/html>
文章编号:
1008-6455(2024)03-0037-04
作者:
何佑成; 郝晓艳; 何 林; 舒茂国
(西安交通大学第一附属医院整形美容颌面外科 陕西 西安 710061 )
Author(s):
HE Youcheng; HAO Xiaoyan; HE Lin; SHU Maoguo
(Department of Plastic and Cosmetic Maxillofacial Surgery,the First Affi liated Hospital of Xi’an Jiaotong University,Xi’an 710061,Shaanxi,China)
关键词:
腋臭; 拿捏翻转; 开放手术; 小切口; 并发症
Keywords:
axillary osmidrosis;  pinch and turn-over technique;  open surgery;  small incision;  complication
分类号:
R622
文献标志码:
A
摘要:
目的：回顾性分析腋窝皱襞线小切口“直观下拿捏翻转”大汗腺剪除术治疗腋臭的疗效和安全性。方法：2018年6 月-2021年6月，笔者科室治疗68例（133侧）腋臭患者。术中顺腋窝皱襞线做一长1.5～2.0 cm切口，组织剪沿浅表脂肪层与 浅筋膜间剥离至腋毛区外约1 cm，肩关节充分外展，眼科小弯剪在盲视下修剪皮瓣下脂肪和大汗腺组织；内收肩关节，“直 观下拿捏翻转”已剪薄的皮瓣，直视下修剪残余大汗腺组织。自粘弹力绷带“8”字包扎固定。结果：腋臭治疗总有效率为 98.49% ，并发症发生率1.5%，术后随访1～3年，所有患者均对治疗效果满意。结论：采用腋窝皱襞线小切口“直观下拿捏翻 转”大汗腺剪除术治疗腋臭，效果良好且并发症较少，方法简便易学，值得临床推广应用。 [
Abstract:
Objective To retrospectively analyze the effi cacy and safety of " pinch and turn-over technique under direct vision" for the treatment of axillary osmidrosis through a small incision at midaxillary crease. Methods The total number was 133 axillae in 68 axillary osmidrosis patients who were treated in the author’s department from June 2018 to June 2021.During the operation,a 1.5-2.0cm long incision was made at the midaxillary crease line.Dissection was made between the superfi cial fat layer and the superfi cial fascia and exceeded the armpit hair 1cm using a tissue scissors.The fat and gland tissue were removed by an ophthalmic scissors in the position of shoulder abduction,and then pinch and turn-over the fl ap in the position of should extension,thus the glandular tissue was removed under a direct vision.The wounds were crossed fi xed like “8” by self-adhesive elastic bandage. Results The total eff ective rate of axillary osmidrosis treatment was 98.49%, and the complication rate was 1.5%. All patients were satisfi ed with the treatment eff ect after 1 to 3 years of follow-up. Conclusion Excision of the apocrine glands by" pinch and turn-over technique under direct vision" through a small incision at midaxillary crease resulted a good clinical outcome,and this method is simple and easy to learn thus worthy of clinical application.

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更新日期/Last Update: 2024-03-20