全腋窝弹性加压包扎法及其在腋臭剪除术中的应用

The technique of elastic pressure bandaging the whole armpits and used to subcutaneous radical pruning for axillary osmidrosis

目的:改进传统的腋臭剪除根治术后包扎方法。方法:分析腋窝形态结构的特殊性而对基于普通弹性绷带的传统"8"字包扎技术进行两方面改进:①加一段弹性绷带在腋下水平缠绕胸、背部一圈,而使腋窝内侧壁被包扎到;②在肩峰、上臂上端外侧、腋窝前、下、后侧用7号丝线将绷带相邻边缘缝扎固定一起,形成全腋窝弹性加压包扎法,并将此法用于98例采用腋窝中央顺皮纹切口入路的皮下修剪法治疗腋臭患者。结果:有3例患者切口创缘部分坏死,但无血肿发生,每次包扎后可维持7天不松散,全腋窝弹性加压包扎法使对术区包扎达到全方位、确切有效、长久牢靠。结论:基于对腋窝结构特殊性而新创的全腋窝弹性加压包扎法牢固可靠,预防血肿效果确切有效。

Objective To improve traditional bandaging for subcutaneous radical pruning for axillary osmidrosis. Methods Based on analysing the particularity of axillary morphology structure, two aspects were improved for traditional ＂8＂ elastic bandaging. Firstly, by adding a length of elastic bandage to twine chest and back one circle,the medial walls of the armpits were bandaged. Secondly, at acromion, the upper end of lateral upper arm,the anterior, underside, posterior of the acromion, 7# silk thread was used to suture ligate the adjacent edge of bandage to form the technique of elastic pressure bandaging the whole armpits. 98 cases of axillary osmidrosis were treated with subcutaneous radical pruning and elastic pressure bandaging. Results Three cases presented partially wound rim necrosis, but there wasn＇t hematoma occurred.All the bandagings didn＇t loose 7 days after operation. The elastic pressure bandaging provided omnibearing,exactly effective,long firm pressure to the whole armpits. Conclusion The new elastic pressure bandaging for the whole armpits prevented hematoma exactly by causing the bandaging long firm and sturdy.