微切口负压抽刮法与小切口大汗腺剪除术治疗腋臭的疗效比较  

The effect comparison of minimal incision vacuum suction and mini-incision excision of apocrine gland in the treatment of osmidrosis

作　　者：周景和[1] 徐慧芳[1] 

机构地区：[1]浙江省杭州市第一人民医院,杭州310006

出　　处：《浙江创伤外科》2015年第6期1058-1060,共3页Zhejiang Journal of Traumatic Surgery

基　　金：浙江省中医药科技计划(2015ZA125)

摘　　要：目的通过对微切口负压抽刮术与小切口大汗腺剪除术治疗腋臭的疗效对比,探索一种更好的治疗腋臭的手术方法。方法对216例腋臭患者随机分为两组,108例行微切口负压抽刮术（A组）,另108例经腋皱襞小切口大汗腺剪除术（B组）。对两组的手术时间、疗效、并发症、恢复时间、疤痕等进行对比分析。结果经3~12个月随访,两组患者腋臭治疗总有效率100%。A组在手术时间、术后并发症、术后恢复时间、疤痕等方面明显优于B组,两组差异有统计学意义（P〈0.05）。结论微切口负压抽刮法治疗腋臭疗效可靠,手术时间快,恢复快,并发症少,疤痕小,更易被患者接受。Objective To explore a more efficient surgical methods to cure axillary osmidrosis through a comparative study on results from minimal incision vacuum suction and mini-incision excision of apocrine gland in the treatment of osmidrosis. Methods 216 patients were randomized into two groups, in which 108 patients（group A） with minimal incision vacuum suction and 108 patients（group B） with mini-incision excision of apocrine gland. The clinical outcomes in the two groups were comparatively analyzed, based on surgery time, effect, complications, recovery time and scarring. Results The total efficiency of axillary osmidrosis treatment was 100% after 3-12 months follow-up. There was no significantly statistical difference on the effect between two groups. Patients treated with minimal incision vacuum suction were obviously superior to excision of apocrine gland from axillary folds based on surgery time, complications, recovery time, and scarring, there were significantly statistical differenct（P〈0.05）. Conclusions Minimal incision vacuum suction as acceptable approach to patients in view of safety and convenience, minimal scarring,fewer complications, and less recovery time.

关 键 词：腋臭 抽刮术 负压吸引 

分 类 号：R758.7[医药卫生—皮肤病学与性病学]