[1]柴 密,曾 玮,杨红岩,等.化脓性大汗腺炎的手术治疗[J].中国美容医学,2018,(09):45-48.
 CHAI Mi,ZENG Wei,YANG Hong-yan,et al.Surgical Management of Hidradenitis Suppurative[J].Medical Aesthetics and Beauty,2018,(09):45-48.
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化脓性大汗腺炎的手术治疗

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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年09期
页码:
45-48
栏目:
出版日期:
2018-10-10

文章信息/Info

Title:
Surgical Management of Hidradenitis Suppurative
文章编号:
1008-6455(2018)09-0045-04
作者:
柴 密曾 玮杨红岩郭伶俐乌兰哈斯韩 岩
Author(s):
CHAI MiZENG WeiYANG Hong-yanGUO Ling-liWULAN HasiHAN Yan
关键词:
[关键词]化脓性大汗腺炎手术切除皮瓣植皮修复
Keywords:
Key words: hidradenitis suppurative surgical excision skin flap skin graft repair
分类号:
R758.74+6
文献标志码:
A
摘要:
[摘要]目的:探讨化脓性大汗腺炎的手术治疗方法。方法:2010年9月-2013年4月,笔者科室对6例8处化脓性大汗腺炎病变采
用外科方法进行治疗,术前美蓝明确病变范围,切除标记范围内全部皮肤及皮下组织,直至深筋膜表面,术后直接缝合2处,
游离植皮3处,皮瓣或肌皮瓣覆盖3处。结果:1处植皮区因皮片部分坏死行补充植皮,其余皮片、皮瓣均愈合良好。随访时间
6~27个月,除1例术后3个月出现局部复发外,其余均未见复发。结论:手术彻底切除病变的皮肤及皮下组织是治疗进展期化
脓性大汗腺炎的唯一方法。在条件允许的情况下,病灶切除后首选皮瓣或肌皮瓣修复,尤其对于外露或功能部位的创面。

Abstract:
Abstract: Objective To discuss surgical treatment for hidradenitis suppurative. Methods Six patients (8 defects) were treated
surgically in our department from September 2010 to April 2013. Methylene blue was used to define the lesion area before
operation, resect all skin and subcutaneous tissues in the marked area until deep fascia. Excision and primary closure (2 defects),
skin grafting (3 defects) and flap/myocutaneous flaps (3 defects) were applied according to the peculiarities of the defects.
Results All wounds healed well expect partial skin graft necrosis in one case. The follow-up period after surgery ranged from
6 to 27 months. Local recurrence was discovered in one patient 3 months after surgery. Conclusion The only successful
way to treat extensive hidradenitis suppurative is wide surgical excision. The methods of reconstruction varied depending on
the size and location of the defect. Compared with skin grafts, skin flaps or myocutaneous flaps are better choices to prevent
complication, avoid recurrence, and improve patients’ quality of life.

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更新日期/Last Update: 2018-10-31