中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (7): 511-513.doi: 10.12144/zgmfskin202507511

• 病例报告 • 上一篇    下一篇

手术治疗化脓性汗腺炎一例

杨红霞1,刘敏2,和毅强2,王路遥2   

  1. 1 云南中医药大学，云南昆明，650103;2 云南省中医医院，云南昆明，650103
  • 出版日期:2025-07-15 发布日期:2025-07-04

Hidradenitis suppurative was treated by surgery: a case report

YANG Hongxia1, LIU Min2, HE Yiqiang2, WANG Luyao2   

  1. 1 Yunnan University of Traditional Chinese Medicine, Kunming 650103, China; 2 Yunnan Provincial Hospital of Traditional Chinese Medicine, Kunming 650103, China
  • Online:2025-07-15 Published:2025-07-04

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摘要： 化脓性汗腺炎目前暂无长期有效的方法，本文报道我科手术成功治疗的化脓性汗腺炎患者1例。患者，男，32岁，双臀部、腹股沟、腋下结节、脓肿14年，加重3年，曾多次就诊于当地医院，病情均未得到控制，反复发作。我院给予双臀、会阴及大腿根部病灶切除、临时性回肠造瘘术，创面封闭负压引流，二期游离皮片移植，单次植皮后皮片存活＞80%，4周后创面基本完全愈合。随访2年未复发。

关键词: 化脓性汗腺炎, 痤疮, 外科治疗

Abstract: Hidradenitis suppurativa has no long-term effective treatment at present. A patient with hidradenitis suppurative was successfully treated by surgery in our department. A 32-year-old male patient presented with bilateral buttocks, groin, and axillary nodules and abscesses for 14 years, which worsened for 3 years. He had visited the local hospital for several times, but the condition was not controlled and recurred. Resection of lesions in bilateral buttocks, perineum and thigh root and temporary ileostomy were performed in our hospital. The wound was closed with negative pressure drainage, and the second stage of free skin grafting was performed. After the single skin grafting, the skin graft survived more than 80%, and the wound was almost completely healed after 4 weeks. There was no recurrence after 2 years of follow-up.

Key words: hidradenitis suppurative, acne, surgical treatment