两种手术方法对腋臭治疗效果的比较研究  

The clinical comparative observation of two operative treatment for osmidrosis

作　　者：谷廷敏[1] 常冬青[1] 隋志甫[1] 赵志力[1] 李蠡[1] 石成方[1] 杨蓉娅[1] 

机构地区：[1]北京军区总医院全军皮肤损伤修复研究所,100125

出　　处：《实用皮肤病学杂志》2012年第2期99-101,共3页Journal of Practical Dermatology

摘　　要：目的比较两种手术方法治疗腋臭的效果,寻找治疗腋臭的合适手术方法。方法对2000年8月～2009年10月应用小切口手术方法与传统的手术方法治疗的318例腋臭患者的临床效果进行比较分析。结果小切口法和传统法治疗腋臭的总有效率均为100%;小切口法根治率为90.2%,传统法根治率为91.2%。术后随访6～12个月,两组患者复发率比较差异无统计学意义;而在腋臭术后住院时间、伤口拆线时间、伤口裂开皮缘坏死率、伤口一期愈合率、术后腋窝瘢痕形成和局部活动方面,小切口法临床效果明显优于传统方法。结论小切口法与传统法治疗腋臭具有同样的根治效果,但小切口法伤口愈合快,局部无瘢痕挛缩及活动受限,总体治疗效果上,小切口法优于传统方法。Objective To explore the preferable therapy for osmidrosis by comparing the effects of microsurgery and traditional surgery method. Methods The clinical comparative observation was made on osmidrosis patients who accepted microsurgery or traditional surgery operation, all the patients were followed up 6 to 12 months postoperatively, then the effects of two surgical methods were evaluated. Results The total effective rate of the two groups which respectively accepted microsurgery and traditional surgery therapy was 100%. The cure rate of microsurgery group and traditional surgery group was 90.2% and 91.2% respectively, and there is no statistical difference in cure rate and recurrence rate between the two methods. In the aspects of hospitalization time, wound suture removal time, the state of wound healing, complications, contracture scars and arm abduction limitation, there is significant difference between the two groups, and the microsurgery method is better than the traditional surgery method. Conclusion The microsurgery method is better than the traditional surgery method, and it would be an efficient treatment choice for osmidrosis patients.

关 键 词：腋臭 微创手术方法 传统手术方法 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]