本文選題：腋臭 + 手術(shù)治療��； 參考：《山西醫(yī)科大學(xué)》2011年碩士論文

【摘要】：目的：采用三種不同的清除大汗腺的手術(shù)方法對腋臭患者進行治療,通過對比手術(shù)前后的氣味、術(shù)后固定時間長短、瘢痕是否明顯、其他的外科并發(fā)癥(如血腫、皮瓣壞死、切口裂開和切口感染等)和復(fù)發(fā)率等因素,對其進行比較和綜合評價,以探討安全有效、創(chuàng)傷更小的祛除腋臭的手術(shù)方法。 方法：對自2008年10月至2010年10月就診于山西醫(yī)科大學(xué)第一醫(yī)院整形外科門診的97例腋臭患者,分別采用腋窩皮膚梭形切除Z整形術(shù)、雙平行切口皮下修剪術(shù)及腋皺襞小切口皮下修剪術(shù)等三種手術(shù)方法進行治療,經(jīng)過隨訪(隨訪時間6-24月),獲得術(shù)后氣味、手術(shù)時間、術(shù)后局部固定時間、瘢痕情況、手術(shù)并發(fā)癥(血腫、皮瓣壞死、切口裂開、切口感染等)、遠期復(fù)發(fā)等方面的資料,對其進行統(tǒng)計學(xué)分析,比較各種方法的臨床療效及并發(fā)癥等,進而對其進行臨床評估。 結(jié)果： 1.腋窩皮膚梭形切除Z整形術(shù)、雙平行切口皮下修剪術(shù)及腋皺襞小切口皮下修剪術(shù)治療腋臭的總有效率和復(fù)發(fā)率無統(tǒng)計學(xué)差異； 2.雙平行切口皮下修剪術(shù)的并發(fā)癥發(fā)生率低于腋窩皮膚梭形切除Z整形術(shù)和腋皺襞小切口皮下修剪術(shù)； 3.腋窩皮膚梭形切除Z整形術(shù)的術(shù)后瘢痕明顯,瘢痕增生及攣縮發(fā)生率高,常有上臂活動受限,而雙平行切口皮下修剪術(shù)和腋皺襞小切口皮下修剪術(shù)的術(shù)后瘢痕均不明顯。結(jié)論：對腋臭輕重程度不同、要求不一的患者,可選擇合適的治療方法。由于術(shù)后較低的復(fù)發(fā)率(3.8%)和并發(fā)癥發(fā)生率(6.7%),術(shù)后瘢痕不明顯,雙平行切口皮下修剪術(shù)是目前較為理想的腋臭手術(shù)治療方法。
[Abstract]:Objective: to treat patients with axillary osmidrosis by three different methods of removing sweat glands. By comparing the smell before and after operation, the length of fixation after operation, whether the scar is obvious or not, and other surgical complications (such as hematoma, flap necrosis, etc.) The factors such as incision split and wound infection) and recurrence rate were compared and evaluated in order to explore the safe and effective and less invasive surgical method to remove axillary odor. Methods: from October 2008 to October 2010, 97 patients with axillary osmidrosis were treated with axillary fusiform excision Z plastic surgery in the plastic surgery Department of the first Hospital of Shanxi Medical University. Two parallel incision subcutaneous pruning and axillary fold small incision subcutaneous pruning were followed up (follow up time 6-24 months) to obtain postoperative odour, operative time, postoperative local fixation time, scar condition, and so on. The data of surgical complications (hematoma, skin flap necrosis, incision split, incision infection, long term recurrence, etc.) were analyzed statistically, the clinical effects and complications of various methods were compared, and the clinical evaluation was carried out. Results: 1. There was no significant difference in the total effective rate and recurrence rate of axillary osmidrosis treated by double parallel incision subcutaneous pruning and axillary fold small incision subcutaneous pruning. 2. The complication rate of double parallel incision subcutaneous pruning was lower than that of axillary fusiform excision Z plasty and axillary fold small incision subcutaneous pruning. Axillary skin spindle excision Z operation had obvious scar, high incidence of scar hyperplasia and contracture, limited upper arm movement, but no obvious scar in double parallel incision subcutaneous pruning and axillary fold small incision subcutaneous pruning. Conclusion: for patients with different degree of axillary odor and different requirements, appropriate treatment methods can be selected. Because of the low recurrence rate of 3.8% and the complication rate of 6.7%, the scar is not obvious after operation. The double parallel incision subcutaneous pruning is an ideal method for the treatment of axillary odor.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2011
【分類號】：R758.741

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