两种微创术式治疗腋臭的对比研究  

Comparison among two small incision procedures in treating axillary osmidrosis

作　　者：张建卓[1,2] 于丽[1,3] 

机构地区：[1]深圳市人民医院 [2]暨南大学第二临床医学院一门诊部普外科,广东深圳518020 [3]暨南大学第二临床医学院整形外科,广东深圳518020

出　　处：《中国医药导报》2014年第26期62-64,共3页China Medical Herald

摘　　要：目的：观察小切口皮下剪除术及负压抽吸术治疗腋臭的术后并发症及效果，探讨两种手术方式各自的优缺点。方法选择2009年6月~2013年6月，在深圳市人民医院一门诊部普外科进行微创腋臭手术的患者80例，随机分为A组和B组，每组各40例。A组采用小切口皮下剪除术，B组采用负压抽吸术进行治疗。术后观察腋窝术区并发症，如血肿、皮肤坏死、伤口裂开及异味情况，并均于半年后观察术区瘢痕及异味情况。结果 A组患者术后并发症发生率为15.0%，治愈率为90.0%，总有效率为97.5%；B组患者术后并发症发生率为5.0%，治愈率为30.0%，总有效率为72.5%。两组并发症发生率、治愈率及总有效率比较，差异均有统计学意义（P〈0.05）。结论微创腋臭治疗的手术方法中，小切口皮下剪除术的术后并发症较多但疗效较好；负压抽吸术的术后并发症较少但疗效略差。0bjective To observe the postoperative complications and efficacy of treating axillary osmidrosis by two pro-cedures （small incision cut-off operation and aspiration surgery）, and explore the advantages of these two procedures. Methods From June 2009 to June 2013, at Department of General surgery in the First Out-patient, People＇s Hospital of Shenzhen City, 80 cases of bilateral axillary osmidrosis were selected and randomly divided into group A （n=40） and group B （n=40）. Small incision cut-off operation was used in group A, and aspiration surgery was used in group B. The postoperative complications, clinical efficiency and scar after 6 months of two groups were observed. Results In Group A, incidence of complications was 15.0%, cure rate was 90.0% and total effective rate was 97.5%; in Group B, inci-dence of complications was 5.0%, cure rate was 30.0% and total effective rate was 72.5%, two groups were compared, the differences were statistically significant （P〈0.05）. Conclusion Efficacy of small incision cut-off procedures is bet-ter, but the complications are more, while the results of aspiration surgery are opposite.

关 键 词：腋臭 剪除术 负压抽吸术 对比 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]