皮下搔刮术治疗难治性腋臭32例

腋臭为美容外科常见疾病，可采用手术和非手术的方法进行治疗。腋臭经过治疗后由于治疗不彻底、复发和再治疗周围新出现的需要重新治疗的这一类腋臭，称之为难治性腋臭。自2000年1月～2006年12月，我们采用皮下搔刮术治疗难治性腋臭32例，随访半年以上，效果良好。现报道如下。     

两种微创手术治疗腋臭的效果比较分析

目的:评价负压抽吸法腋臭根治术与小切口超薄皮瓣法腋臭根治术治疗腋臭的临床效果。方法:自2011年9月至2015年4月收治的腋臭患者90例,其中45例采用负压抽吸治疗,45例采用小切口超薄皮瓣法治疗;对两组患者的治疗效果与并发症情况进行分析并做比较。结果:经术后6个月的随访,两组治愈率分别为86.7%和91.1%,有效率均达到100%。结论:负压抽吸法腋臭根治术与小切口超薄皮瓣法腋臭根治术对腋臭治疗均有效,但各有优缺点,应根据具体情况采用个体化的治疗方案。     

微创腋臭根治术对难治性腋臭的治疗效果探讨

目的：探讨微创腋臭根治术对难治性腋臭治疗的心得体会。方法：自2009年1月起应用腋窝微创切口治疗难治性腋臭30例,持续至2011年4月。每例患者首次或以前多次不同方法治疗腋臭后效果不佳导致复发,复发时间从治疗后1月到6月。结果：30例患者接受根治术治疗后均出现极大程度的异味改善,未出现任何并发症。结论：应用微创腋臭根治术治疗难治性腋臭效果好,安全有效,有推广价值。     

采用平行切口治疗腋臭198例体会

目的 观察采用平行切口治疗腋臭疗效的效果。方法 回顾分析2003年2月～2007年8月采用平行切口治疗198例腋臭患者的临床资料。结果 本组198例术后一年均获随访，腋臭全部治愈。结论 采用平行切口治疗腋臭手术方法简单实用，术后无瘢痕，不影响上肢活动，是治疗腋臭的理想方法。     

改良小切口真皮深层修剪法腋臭根治术

目的：探讨改良小切口真皮深层修剪法腋臭根治术的临床效果。方法：对2008年5月至2009年10月收治的112例腋臭患者采用改良小切口真皮深层修剪法腋臭根治术,观察临床效果。结果：87例患者随访6个月～1年,无异味残留,腋下无明显瘢痕,效果满意。结论：改良小切口真皮深层修剪法腋臭根治术临床应用效果良好,操作简单,并发症少,不遗留明显瘢痕,是一种理想的腋臭手术方式。     

液氮冷冻治疗腋臭15例

我院1987年1月至1989年10月,用液氮冷冻治疗腋臭15例。其中男8例,女7例,年龄在16至28岁,平均年龄22岁。有2例是术后腋臭复发来诊。一次液氮冷冻治愈腋臭9例,经二次液氮冷冻治愈腋臭6例。本组病例均经2至3年随访,无复发。     

超声微创祛腋臭310例

腋臭又称狐臭,常见于青壮年,因其异味而影响正常的学习、工作和交往,造成心理压力.临床治疗腋臭的方法很多,但效果多不满意.2002年12月～2008年6月,我们采用体内超声治疗腋臭,效果较满意,现报道如下.     

微创腋臭根治术后腋部重度瘢痕增生一例

腋臭又称臭汗症,是细菌分解顶泌汗腺分泌的汗液中有机物质(蛋白质和脂质),产生有明显气味的短链饱和脂肪酸与氨所致。临床治疗腋臭的方法很多,自2003年我科采用微创腋臭根治术,即小切口皮下修剪结合局部搔刮术治疗腋臭,效果良好。术后复发及并发症少见,术后腋部重度瘢痕增生更罕见。现将我科一例在行微创腋臭根治术后一年腋部出现重度瘢痕增生病例报道如下。     

小切口翻转皮瓣直视下清除大汗腺腋臭根治术

腋臭在我国的发病率为6．41％,腋臭患者因为异味而造成心理压力过大,影响正常的工作生活[1]。临床治疗腋臭的方法很多,但目前手术是唯一能达到根治目的的有效方法[2]。自2008年9月至2012年3月,我们应用小切口翻转皮瓣直视下清除大汗腺治疗腋臭96例,取得了满意的效果。现报道如下。     

电子去脂机微创腋臭根治术围手术期护理

腋臭是一种常见的皮肤病,青春期后大汗腺分泌活动增强,排泄后经皮肤表面细菌分解,产生短链脂肪酸和氨液而产生异味[1]。腋臭是发生于青春期的常见疾病,严重影响患者身心健康、参军、求学、就业和交际,因此大多数患者有根治腋臭的要求。我中心自2003年3月～2011年6月应用电子去脂机行腋臭微创治疗243例,效果满意,现报道如下。     

AXILLARY SKIN EXCISION FOR THE TREATMENT OF AXILLARY HYPERHIDROSIS

In fourteen patients with axillary hyperhidrosis, good control of sweating has been achieved by resection of a longitudinal ellipse of axillary skin and Z-plasty closure. Axillary scarring has been extensive, but inconspicuous.     

PENETRATING INJURIES OF THE AXILLARY ARTERY

This is a retrospective study of 32 patients with penetrating injury of the axillary artery. There was an overall mortality of 6% entirely accounted for by associated injuries. Pre-operative angiography was used in 12 of these patients either to confirm the presence of an injury or to define its location. Twelve patients underwent lateral arteriorrhaphy or an end-to-end anastomosis and 19 patients had an interposition graft. No immediate problems were experienced with polytetrafluoroethylene grafts compared with autogenous vein grafts. There were 14 patients with a concomitant venous injury; 13 were repaired and only transient arm oedema was experienced. Eleven patients had a brachial plexus injury and, of these, nine underwent a secondary nerve repair with a poor outcome. Axillary artery injury has a good prognosis with a morbidity related mainly to associated nerve injury and a mortality accounted for by injuries to other body systems.     

SIGNIFICANCE OF ‘LANGER'S AXILLARY ARCH’ IN AXILLARY DISSECTION

The axillary arch is reported to occur in 7% of the population, but in our experience has only been observed in 0.25%. The anatomical features are described and its importance in axillary dissection is indicated. In addition, its relevance to the prevention of lymphoedema and to the construction of latissimus dorsi flaps is discussed. The axillary arch should be considered in the differential diagnosis of axillary swellings.     

COMPARISON OF TWO METHODS OF AXILLARY BRACHIAL PLEXUS ANAESTHESIA

Comparison of the trans-arterial and Winnie techniques of axillarybrachial plexus block was made in two groups of patients. Thisstudy did not find any statistical difference between the twotechniques. Present address, for correspondence: Anaesthetic Department,Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF.     

腋臭

腋臭症(axillary osmidrosis)俗称"狐臭",是由腋窝大汗腺产生的分泌物,排出体外后经细菌分解,产生一种难闻的气味,严重者影响患者的交往,造成心理负担,甚至影响日常的生活和工作.     

EFFECT OF ADDITION OF HYALURONIDASE TO BUPIVACAINE DURING AXILLARY BRACHIAL PLEXUS BLOCK

We have studied in 22 patients the effect of adding hyaluronidaseto bupivacaine during axillary brachial plexus block (BPB) ina double-blind design. Patients received BPB using bupivacaine2 mg kg^–1 with adrenaline 1 in 200000, either with orwithout hyaluronidase 3000 iu, in a volume of 0.5 ml per 2.54cm of the patient's height. The use of hyaluronidase did notincrease the speed of onset of anaesthesia or reduce the incidenceof inadequate nerve block. Hyaluronidase produced a significantreduction in the duration of anaesthesia. Changes in grip strengthand skin temperature were useful in assessing the onset andprogress of BPB.     

ULTRASONOGRAPHIC STUDY OF THE SPREAD OF LOCAL ANAESTHETIC DURING AXILLARY BRACHIAL PLEXUS BLOCK

Ultrasonography has been used to demonstrate the anatomy ofthe axilla, to confirm the placement of a cannula and to visualizethe spread of a local anaesthetic solution in the axillary sheathof 10 patients (aged 17–70 yr) for surgery of the forearmand hand. The block was successful in all subjects.     

肿胀麻醉腋窝切口隆乳术142例

自1998年2月起采用肿胀麻醉法腋窝切口隆乳术142例,现将有关资料报道如下.