切口减张缝合及弹性绷带包扎预防腋臭术后切缘糜烂

Using relaxation suture of incision and elastic stickiness bandage in the precaution of cutting edge anabrosis after osmidrosis surgery

目的:探讨切口减张缝合及弹性绷带包扎在预防腋臭术后切缘糜烂的效果。方法:根据腋毛区范围大小,在腋窝中部顺皮肤皱襞分别设计一至二条长2～3cm的切口,皮下分离腋毛区及区外1cm区域,去除汗腺,保留真皮下血管网,切口间断缝合,隔针与皮下筋膜缝合减少缝合口的张力同时降低皮片移动度,皮片引流,弹性绷带适当加压包扎。结果:本组共45例89侧,术后切口均一期愈合,未发现切缘糜烂,随访0.5～1年,瘢痕不明显。结论:切口减张缝合及弹性绷带包扎可有效预防腋臭术后切缘糜烂,提高手术效果。

Objective To investigate the effect of using relaxation suture of incision and elastic stickiness bandage in the precaution of cutting edge anabrosis after osmidrosis surgery.Methods One or two 2～3cm skin incisions were made along skin fold in the central region of axillary space according to the range of axillary hair,subdermal sectioning was performed in the axillary hair area and 1 cm outside,after removing apocrine glands and remaining subdermal vascular plexus,the incision was closed with interrupted suture and suspended to subcutaneous fascia every 2 sutures so as to diminish the tension of incision and the migration of flap,drainage piece was placed,appropriate pressure dressing with elastic bandage was given to each axilla.Results Of the 45 cases,all the incisions in 89 sides healed primarily,no anabrosis in incisal edge happened and no obvious scars were observed in the six months to one year followed up.Conclusion Relaxation suture of incision and appropriate pressure dressing with elastic bandage is effective in reducing anabrosis in incisal edge.