联合射频电波刀治疗的改良大汗腺清除术临床效果观察  

Therapeutic effect of modified apocrine gland removal surgery with the combination of high radiofrequency knife for axillary osmidrosis

作　　者：韩飞[1] 黎晴[1] 

机构地区：[1]什邡市人民医院整形外科,四川什邡618400

出　　处：《中华整形外科杂志》2013年第5期361-364,共4页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨联合射频电波刀治疗的改良大汗腺清除术和大汗腺清除术治疗腋臭的疗效差异.方法 将105例210侧腋臭患者,随机分为两组,A组（38例,76侧）采用大汗腺清除术治疗,B组（67例,134侧）采用联合射频电波刀的改良大汗腺清除术治疗,观察两组切口愈合及并发症情况,并于术后6个月至1年比较两组的临床疗效.结果 两组术后均未发生皮瓣坏死等严重并发症.腋臭治愈率A、B两组分别为82.89％ （63/76）和92.54％（124/134）,差异有统计学意义（P＜0.05）；腋毛明显减少的有效率A、B两组分别为42.1％和59.7％,差异有统计学意义（P＜0.05）；两组术后血肿发生率则无统计学意义（P＞0.05）.两组复发率比较,A组为9.21％,B组为1.49％,差异有统计学意义（P＜0.05）.结论 应用联合射频电波刀的改良大汗腺清除术,可以最大限度暴露顶泌汗腺组织,清除顶泌汗腺和毛囊更彻底,术后腋毛明显减少,可降低腋臭的复发率.Objective To compare the therapeutic effect of traditional and modified apocrine gland removal surgery with the combination of high radiofrequency knife for axillary osmidrosis.Methods 105 cases（210 sides） were randomly divided into traditional group A（38 cases,76 sides） and modified group B（67 cases,134 sides）.The wound healing and complications were recorded.The clinical effect was followed up for 6-12 months after operation.Results No flap necrosis happened in both groups.The cure rate was 82.89％ （63/76）） and 92.54％ （124/134） in group A and B,respectively,which was significantly different （P ＜ 0.05）.The effective rate of hair removal in group A and B was 42.1％,59.7％ （P ＜ 0.05）.There is no markedly difference between the two groups in postoperative hematoma（P ＞0.05）.The recurrence rate in group A and B was 9.21％ and 1.49％ respectively,with a statistically difference between them （P ＜ 0.05）.Conclusions Modified apocrine gland removal surgery with the combination of high radiofrequency knife can expose the apocrine gland better and the gland,as well as hair,can be removed in the most.The residue hair and recurrency of osmidrosis are very lower.

关 键 词：臭汗症 射频电波刀 疗效比较 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]