CAJ | 학술논문

目的探讨如何在腋臭根治术中既能避免术后影响患者上肢功能,又能达到美观效果.方法先沿腋窝中央皮肤褶皱处设计手术切口线,切开皮肤后,剪除腋毛区域及周围1 cm皮肤上的脂肪组织、顶泌汗腺及毛囊,修剪成仅含皮肤全层和真皮下血管网的超薄皮瓣,最后缝合切口.结果 72例皮瓣全部成活,术后切口瘢痕不明显,上肢活动自如.术区皮肤柔软,腋毛稀疏,腋窝不再有异味.3例患者术区愈合延迟,换药后愈合.结论本手术切口小,术后切口瘢痕不明显,术区皮肤柔软,可达到患者美容要求.手术并不切除腋窝皮肤,术后患者上肢功能不受影响.而且手术在直视下破坏顶泌汗腺,手术彻底,操柞简单,术后效果满意.本法缺点是术区毛囊破坏,腋毛脱落.
목적 탐토여하재액취근치술중기능피면술후영향환자상지공능,우능체도미관효과.방법 선연액와중앙피부습추처설계수술절구선,절개피부후,전제액모구역급주위1 cm피부상적지방조직、정비한선급모낭,수전성부함피부전층화진피하혈관망적초박피판,최후봉합절구.결과 72례피판전부성활,술후절구반흔불명현,상지활동자여.술구피부유연,액모희소,액와불재유이미.3례환자술구유합연지,환약후유합.결론 본수술절구소,술후절구반흔불명현,술구피부유연,가체도환자미용요구.수술병불절제액와피부,술후환자상지공능불수영향.이차수술재직시하파배정비한선,수술철저,조작간단,술후효과만의.본법결점시술구모낭파배,액모탈락.
Objective To study how to cure bromidrosis permanently with beautiful outlook without effecting the Eatients' upper limb function after operation. Methods To design the operative incision along the central armpit wrinkles, we cut the adipose tissue, apocrine sweat glands and hair follicle inside axillary hairs and outside for one centimeter after we cut the skin. Super thin skin flaps were formed, which only contain the whole skin and under - dermal blood vessel web. At last we sew up the incision. Results The flaps in 72 cases were all survived. The postoperative scars were not obvious. What's more, the patients could exercise their upper limbs freely. There was not any strange flavor in the armpits. And the skins were soft with rare axillary hairs. Three cases had delayed healing after dressing the wound. Conclusion The operation has a small incision, not obvious scar and a soft skin, which achieve the patients' cosmetic demands. The postoperative patients can exercise their upper limbs freely because of reserving the armpits skin. Besides the operation destroys the apocrine sweat glands under steady look. It's not only thorough but also simply with good results.The shortcoming of the operation is that the hair follicle are destroyed and the axillary hairs drop.