CAJ | 학술논문

目的：探讨引流对微创腋臭手术切口愈合的影响。方法整群选取该院2009年8月-2014年10月微创腋臭手术病人,397病例按就诊日期分组,单日纳入对照组,双日纳入实验组,对照组切口内不放置引流,实验组切口内用输液管或输血管作引流管引流,引流管术后第一天拔出一半,第二天全部拔出。结果切口愈合按教科的甲、乙、丙三级分法,实验组208例,甲级愈合191例,乙级愈合10例,丙级愈合7例；对照组189例,甲级愈合157例,乙级愈合18例,丙级愈合14例,特别是丙级愈合病例差异有统计学意义,P≤0.05。结论微创腋臭手术后引流管取材方便,成本低,拔管方便,有临床推广价值。
목적：탐토인류대미창액취수술절구유합적영향。방법정군선취해원2009년8월-2014년10월미창액취수술병인,397병례안취진일기분조,단일납입대조조,쌍일납입실험조,대조조절구내불방치인류,실험조절구내용수액관혹수혈관작인류관인류,인류관술후제일천발출일반,제이천전부발출。결과절구유합안교과적갑、을、병삼급분법,실험조208례,갑급유합191례,을급유합10례,병급유합7례；대조조189례,갑급유합157례,을급유합18례,병급유합14례,특별시병급유합병례차이유통계학의의,P≤0.05。결론미창액취수술후인류관취재방편,성본저,발관방편,유림상추엄개치。
Objective To observe the effect of drainage on the healing of incision in minimally ivasive surgery for axillary os-midrosis. Methods 397 patients with axillary osmidrosis in our hospital during August 2009 and October 2014 were selected. Those admitted on odd-numbered date were assigned to the control group, while on even-numbered date to the experimental group. Infusion tubeor blood or transfusion tube, was not and was used in the control group and in the experimental group respec-tively as drainage tubes which was pulled out half 1 day after operation and completely 2 day after operation. Results According to the classification method in the textbook for healing of incision, there were 208 cases in Class A, 191 cases in Class B, 7 cases in Class C in the observation group;while 189 cases in Class A, 18 cases in Class B, 14 cases in Class C in the control group. There were statistically significant differences between the healing of incision of varying Class, especially that of Class C, of the two groups, P≤0.05. Conclusion Drainage tube which is easy to obtain applied minimally ivasive surgery for axillary osmidrosis is ef-fective and economical, therefore it should be widely used in clinic.