ChiCTR2600125971 版本V1.0 版本创建时间2026/06/01 21:49:59 中国临床试验注册中心

审核状态:

Project audit state:

通过审核

Successful

注册号:

Registration number:

ChiCTR2600125971 

最近更新日期:

Date of Last Refreshed on:

2026-06-01 21:49:47 

注册时间:

Date of Registration:

2026-06-01 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

腋窝化脓性汗腺炎广泛切除术后皮瓣修复的疗效评估

Public title:

Efficacy Evaluation of Flap Repair After Wide Excision for Axillary Hidradenitis Suppurativa

注册题目简写:

English Acronym:

研究课题的正式科学名称:

腋窝化脓性汗腺炎广泛切除术后皮瓣修复的疗效评估

Scientific title:

Efficacy Evaluation of Flap Repair After Wide Excision for Axillary Hidradenitis Suppurativa

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

杨柳 

研究负责人:

杨柳 

Applicant:

Yang Liu 

Study leader:

Liu Yang 

申请注册联系人电话:

Applicant telephone:

+86 138 8617 1945

研究负责人电话:

Study leader's
telephone:

+86 27 8576 8188

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

bengpao82@163.com

研究负责人电子邮件:

Study leader's E-mail:

bengpao82@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

湖北省武汉市江汉区解放大道1277号华中科技大学同济医学院附属协和医院

研究负责人通讯地址:

湖北省武汉市江汉区解放大道1277号

Applicant address:

Union Hospital, 1277 Jiefang Ave, Jianghan, Wuhan, Hubei, China

Study leader's address:

NO.1277 Jiefang Avenue, Wuhan, Hubei Province

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

华中科技大学同济医学院附属协和医院

Applicant's institution:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

研究负责人所在单位:

华中科技大学同济医学院附属协和医院

Affiliation of the Leader:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

[2026]伦审字(0458)号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

华中科技大学同济医学院附属协和医院医学伦理委员会

Name of the ethic committee:

Ethics Committee of Union Hospital of Tongji Medical College Huazhong University of Science and Technology

伦理委员会批准日期:

Date of approved by ethic committee:

2026-05-11 00:00:00

伦理委员会联系人:

褚圆圆

Contact Name of the ethic committee:

Chu YuanYuan

伦理委员会联系地址:

湖北省武汉市江汉区解放大道1277号

Contact Address of the ethic committee:

NO.1277 Jiefang Avenue, Wuhan, Hubei Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 27 8572 6375

伦理委员会联系人邮箱:

Contact email of the ethic committee:

994877373@qq.com

研究实施负责(组长)单位:

华中科技大学同济医学院附属协和医院

Primary sponsor:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

研究实施负责(组长)单位地址:

湖北省武汉市江汉区解放大道1277号

Primary sponsor's address:

NO.1277 Jiefang Avenue, Wuhan, Hubei Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

湖北省

市(区县):

Country:

China

Province:

Hubei

City:

单位(医院):

华中科技大学同济医学院附属协和医院

具体地址:

湖北省武汉市江汉区解放大道1277号

Institution
hospital:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Address:

NO.1277 Jiefang Avenue, Wuhan, Hubei Province

经费或物资来源:

自选课题(自筹)

Source(s) of funding:

Self-financing

研究疾病:

化脓性汗腺炎  

Target disease:

Hidradenitis suppurativa

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

化脓性汗腺炎(hidradenitis suppurativa, HS)是一种慢性、复发性、炎症性皮肤病,常累及腋窝、腹股沟等屈侧部位,表现为反复出现的炎性结节、脓肿、窦道及瘢痕,严重影响患者疼痛体验、日常活动和生活质量。对于中重度、反复发作且已形成窦道和瘢痕的腋窝HS,广泛切除被认为是重要的外科治疗方式之一;切除后创面修复方式则直接关系到创面愈合、并发症、复发控制、功能恢复及患者满意度。 本研究拟基于多中心既往临床数据库,开展一项多中心回顾性观察性研究,纳入接受腋窝HS广泛切除术后皮瓣修复的患者,系统评估其疗效与安全性。研究将重点分析创面愈合时间、术后并发症、复发情况及患者满意度等临床结局,并结合年龄、性别、BMI、吸烟、糖尿病、Hurley分期、病程、皮瓣类型、皮瓣面积等变量,探索影响疗效的相关因素。同时,本研究拟将所得结果与既往文献中腋窝HS广泛切除后二期愈合的报道进行审慎比较,以评价皮瓣修复在特定结局方面的潜在优势。由于HS领域长期存在结局指标异质、患者报告结局不足的问题,因此开展本研究具有较强的临床现实意义。  

Objectives of Study:

Hidradenitis suppurativa (HS) is a chronic, recurrent inflammatory skin disease predominantly affecting flexural sites such as the axillae and inguinal regions. It manifests as recurrent inflammatory nodules, abscesses, sinus tracts and scars, which severely impair patients’ pain perception, daily activities and quality of life.For moderate-to-severe, recurrent axillary HS complicated with sinus tracts and scar formation, wide excision is regarded as one of the core surgical treatments. Post-excision wound reconstruction approaches directly determine wound healing progress, complication rates, recurrence control, functional recovery and patient satisfaction.This multicenter retrospective observational study will be conducted based on historical multicenter clinical databases, enrolling patients who underwent skin flap reconstruction following wide excision for axillary HS, to systematically evaluate the clinical efficacy and safety of this therapeutic strategy. Primary clinical outcomes including wound healing time, postoperative complications, recurrence rate and patient satisfaction will be analyzed. Correlative influencing factors will be further explored by incorporating variables such as age, gender, body mass index (BMI), smoking status, diabetes mellitus, Hurley staging, disease duration, flap type and flap size.In addition, the study findings will be carefully compared with previously published data regarding secondary intention healing after wide excision for axil

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

1.临床明确诊断为腋窝化脓性汗腺炎(HS)(Hurley Ⅱ/Ⅲ期);
2.接受双侧腋窝广泛切除术(切除范围达深筋膜层);
3.术后皮肤缺损采用皮瓣修复(任意皮瓣类型,如局部旋转皮瓣、V-Y推进皮瓣等);
4.具有完整的术前、术中及术后至少6个月的随访记录;(随访过程已完成,研究仅回顾提取相关数据);
5.数据库中基线资料(年龄、性别、BMI、吸烟史、糖尿病史、Hurley分期、切除面积等)完整;

Inclusion criteria

1.Clinically confirmed diagnosis of axillary hidradenitis suppurativa (HS) (Hurley stage II/III);
2.Undergoing bilateral extensive axillary excision (with resection extending to the deep fascial layer);
3.Postoperative skin defects repaired with flaps (any type of flap, e.g., local rotation flap, V-Y advancement flap, etc.);
4.Availability of complete preoperative, intraoperative, and postoperative follow-up records for at least 6 months (follow-up completed; study only retrospectively extracts relevant data);
5.Complete baseline data in the database, including age, sex, body mass index (BMI), smoking history, diabetes history, Hurley stage, resection area, etc.

排除标准:

1.术后缺损采用二期缝合、植皮或其他非皮瓣修复方式;
2.未接受广泛切除手术治疗患者;
3.术后失访或随访资料不完整者;(随访数据未达到术后至少6个月,或关键随访信息缺失);
4.长期使用糖皮质激素或免疫抑制剂者;
5.合并其他可能影响创面愈合的严重疾病(如严重免疫缺陷、活动期恶性肿瘤、严重肝肾功能不全、重度营养不良等);

Exclusion criteria:

1.Postoperative defects managed by secondary intention healing, skin grafting, or other non-flap repair methods;
2.Patients who did not undergo extensive excisional surgery;
3.Loss to follow-up or incomplete follow-up data (follow-up duration less than 6 months post-surgery, or missing key follow-up information);
4.Long-term use of glucocorticoids or immunosuppressive agents;
5.Presence of other serious diseases that may affect wound healing (e.g., severe immunodeficiency, active malignancy, severe hepatic or renal dysfunction, severe malnutrition, etc.).

研究实施时间:

Study execute time:

From 2026-06-01 00:00:00 To 2026-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-01 00:00:00 To 2026-06-30 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

130

Group:

Observation group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

湖北省 

市(区县):

 

Country:

China

Province:

Hubei

City:

单位(医院):

华中科技大学同济医学院附属协和医院 

单位级别:

三级甲等 

Institution
hospital:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏省 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

中国医学科学院皮肤病医院(中国医学科学院皮肤病研究所) 

单位级别:

三级甲等 

Institution
hospital:

Hospital for Skin Diseases, Institute of Dermatology, Chinese Academy of Medical Science and Peking Union Medical College

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术后复发率

指标类型:

主要指标

Outcome:

Postoperative recurrence rate

Type:

Primary indicator

测量时间点:

手术后6个月

测量方法:

观察术后6个月原手术区域或其邻近腋窝区域是否再次出现经临床判断符合HS活动的炎性结节、脓肿或窦道。

Measure time point of outcome:

Six months after the operation

Measure method:

Observe whether inflammatory nodules, abscesses or sinus tracts that are clinically judged to be in line with HS activity reappear in the original surgical area or its adjacent axillary area 6 months after the operation.

指标中文名:

工作效率和活动障碍问卷

指标类型:

次要指标

Outcome:

Work Productivity and Activity Impairment Questionnaire

Type:

Secondary indicator

测量时间点:

术后6个月

测量方法:

记录该患者术后6个月的此项评分

Measure time point of outcome:

Six months after the operation

Measure method:

Record this index of the patient 6 months after the operation

指标中文名:

皮肤科生活质量指数

指标类型:

次要指标

Outcome:

Dermatology Life Quality Index

Type:

Secondary indicator

测量时间点:

术后6个月

测量方法:

记录该患者术后6个月的此项评分

Measure time point of outcome:

Six months after the operation

Measure method:

Record this index of the patient 6 months after the operation

指标中文名:

术后并发症发生率

指标类型:

次要指标

Outcome:

Incidence of postoperative complications

Type:

Secondary indicator

测量时间点:

不适用

测量方法:

观察术后是否发生延迟愈合、感染、出血、血肿、伤口裂开、皮瓣部分坏死等情况

Measure time point of outcome:

NA

Measure method:

Observe whether there are conditions such as delayed healing, infection, bleeding, hematoma, wound dehiscence, and partial necrosis of the flap after the operation

指标中文名:

创面愈合时间

指标类型:

主要指标

Outcome:

Wound healing time

Type:

Primary indicator

测量时间点:

不适用

测量方法:

记录手术伤口从术后到伤口完全愈合时间

Measure time point of outcome:

NA

Measure method:

Record the time from the operation of the surgical wound to its complete healing

指标中文名:

肩关节评定简表

指标类型:

次要指标

Outcome:

Simple Shoulder Test

Type:

Secondary indicator

测量时间点:

术后6个月

测量方法:

记录该患者术后6个月的此项评分

Measure time point of outcome:

Six months after the operation

Measure method:

Record this index of the patient 6 months after the operation

指标中文名:

温哥华瘢痕量表

指标类型:

次要指标

Outcome:

Vancouver Scar Scale

Type:

Secondary indicator

测量时间点:

术后6个月

测量方法:

记录该患者术后6个月的此项评分

Measure time point of outcome:

Six months after the operation

Measure method:

Record this index of the patient 6 months after the operation

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

None

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

不适用

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Not Applicable

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

本研究数据来源于既往临床数据库、电子病历系统、手术记录及术后随访记录。研究团队将按照统一的数据提取表收集相关资料。由两名研究人员独立提前数据并建立病例记录表。每例患者进行去标识化处理,赋予唯一研究编号,研究编号与身份信息对照表由专人单独保管。 数据文件保存在受密码保护的电脑或院内安全服务器中,未经授权不得访问。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The data of this study were derived from previous clinical databases, electronic medical record systems, surgical records and postoperative follow-up records. The research team will collect relevant materials in accordance with a unified data extraction table. Two researchers independently advanced the data and established case record forms. Each patient undergoes de-identification processing and is assigned a unique research number. The comparison table of the research number and identity information is kept separately by a designated person. Data files are stored in password-protected computers or secure servers within the hospital and are not accessible without authorization.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-06-01 21:49:47