引流在微创腋臭手术中的应用

Application of Drainage in Minimally Ivasive Surgery for Axillary Osmidrosis

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。

Objective To observe the effect of drainage on the healing of incision in minimally ivasive surgery for axillary osmidrosis. 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 respectively 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 effective and economical, therefore it should be widely used in clinic.