利宝平，童 梅，林敏华
广州市海珠区妇幼保健院 广东广州
【摘要】腋臭微创清除术是当前治疗腋臭的常见方法，而专业到位的腋臭微创清除术护理，是提升手术效果、
加快患者康复进度的必要条件。本文主要对腋臭微创清除术的护理研究进展进行全面分析，重点阐明术前、术中、
术后等护理环节要点，以期为腋臭微创清除术护理实践提供相应指导依据。
【关键词】腋臭微创清除术；护理；研究进展
【收稿日期】2025 年 11 月 13 日 【出刊日期】2025 年 12 月 10 日 【DOI】10.12208/j.ijnr.20250621
A review of nursing research progress in minimally invasive surgery for axillary osmidrosis
Baoping Li, Mei Tong, Minhua Lin
Haizhu District Maternal and Child Health Care Hospital of Guangzhou, Guangzhou, Guangdong
【Abstract】Minimally invasive surgery for axillary osmidrosis is a common treatment for bromhidrosis. High-quality nursing care plays a crucial role in improving surgical outcomes and promoting patient recovery. This paper provides a comprehensive analysis of research progress in nursing care for minimally invasive axillary osmidrosis surgery, with a focus on preoperative, intraoperative, and postoperative nursing. The aim is to offer practical guidance for clinical nursing practice in this field.
【Keywords】Minimally invasive surgery for axillary osmidrosis; Nursing; Research progress
Alfredo E. Hoyos，MDD；Mauricio E. Perez Pachon，MDD; Matt Stefanelli，MD；Mariana Borras Osorio, MD； Justo Calderon Mendoza，MSc；Maria Paula Castiblanco，MD；Mateo Leon Machicado，MD；and Andres Pinzon Valero，MD
AbstractBackground: Despite the general safety of liposuction and fat grafting procedures，surgical-site infections (SSIs) remain a significant concern. These infections, ranging from minor to severe，can arise from various sources and pose a substantial burden. The overuse of antibiotics has led to increased antimicrobial resistance，highlighting the need for alternative infection prevention strategies like stabilized hypochlorous acid (s-HOCl). Objectives: The aim of the authors of this study is to evaluate the efficacy and safety of s-HOCl in preventing SSIs following liposculpture and other body contouring procedures. Methods: A prospective cohort study and matched control cohort were conducted at a single plastic surgery center in Bogota，Colombia (Dhara Clinic). Adult patients scheduled for liposculpture and fat grafting from January 2020 to December 2023 formed the intervention group，receiving s-HOCl as a washing solution for adipose grafts. A matched control cohort was drawn from patients who underwent similar procedures from January 2017 to December 2019 without s-HOCl. Data on demographics，surgical characteristics，and SSI outcomes were collected and analyzed. Results: A total of 1008 patients were included，with 502 in the s-HOCl group and 506 in the control group. The infection rate in the s-HOCl group was 0.2 per 100 grafted muscles, compared with 0.54 in the control group. Relative risk of SSIs in the s-HOCl group was 0.4，indicating a reduction in infection rates. The small absolute risk reduction of 0.59% underscores the clinical importance，considering SSIs, although rare，are severe and life-threatening events，with significant impact on outcomes and healthcare costs. A reduction in the severity of infection and the level of required treatment was also observed. Conclusions: s-HOCl demonstrated potential to reduce SSI risk following liposuction and fat grafting. This intervention offers a valuable alternative to antibiotics，effectively reducing infection rates and contributing to improved patient outcomes and public health in postantibiotic era.
溃疡是皮肤或黏膜表面组织的限局性缺损、溃烂，其表面常覆盖有脓液、坏死组织或痂皮，愈后遗有瘢痕，可由感染、外伤、结节或肿瘤的破溃等所致，其大小、形态、深浅、发展过程等也不一致。常合并慢性感染，可能经久不愈。如胃溃疡、十二指肠溃疡、小腿慢性溃疡等。
伤口世界平台生态圈，以“关爱人间所有伤口患者”为愿景，连接、整合和拓展线上和线下的管理慢性伤口的资源，倡导远程、就近和居家管理慢性伤口，解决伤口专家的碎片化时间的价值创造、诊疗经验的裂变复制、和患者的就近、居家和低成本管理慢性伤口的问题。
2019广东省医疗行业协会伤口管理分会年会
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