腋横纹双切口剥离术和肿胀负压抽吸术治疗腋臭的有效性及安全性比较  

Comparison of efficacy and safety between axillary striated double incision dissection and swelling negative pressure aspiration in the treatment of axillary osmidrosis

作　　者：项铁[1] 周长凯 姚建[1] XIANG Tie;ZHOU Chang-kai;YAO Jian(Department of Burn and plastic surgery,frst people＇s Hospital of Nantong,Nantong,Jiangsu 226001)

机构地区：[1]南通市第一人民医院烧伤整形科,江苏南通226001

出　　处：《中国医疗美容》2018年第8期17-21,共5页China Medical Cosmetology

摘　　要：目的探讨腋横纹双切口剥离术和肿胀负压抽吸术治疗腋臭的有效性及安全性。方法选取2015年5月~2017年5月我院收治的102例腋臭患者,按照随机数字表法分成两组。剥离组(51例)采取腋横纹双切口剥离术治疗,抽吸组(51例)采取肿胀负压抽吸术治疗。比较两组临床疗效,并发症发生情况。结果剥离组和抽吸组的总有效率均为100.00%。剥离组的治愈率为92.16%,明显高于抽吸组(76.47%,P<0.05)。剥离组的术后并发症发生率为5.88%,明显低于抽吸组(19.61%,P<0.05)。剥离组术后6个月、12个月复发率分别为1.96%和11.76%,均低于抽吸组(7.84%和19.61%),但差异无统计学意义(P>0.05)。剥离组术后总满意率为98.04%,高于抽吸组(92.16%),但差异无统计学意义(P>0.05)。结论腋横纹双切口剥离术和肿胀负压抽吸术均是治疗腋臭的有效方法,但腋横纹双切口剥离术的临床疗效更佳,且并发症较少,安全性更高,值得临床推广使用。Objective To investigate the efficacy and safety of axillary striated double incision dissection and swelling negative pressure aspiration in the treatment of axillary odor. Methods 102 patients with axillary osmidrosis from May 2015 to May 2017 were randomly divided into two groups. 51 cases were treated by double incision dissection of axillary stria and 51 cases by swelling negative pressure aspiration. The clinical efficacy and complications were compared between the two groups. Results The total effective rate of the exfoliation group and the suction group was 100.005%. The cure rate of the stripping group was 92.16, which was significantly higher than that of the suction group. P〈0.05）. The incidence of postoperative complications in the peeling group was 5.88, which was significantly lower than that in the suction group（19.61 vs 19.61, P〈0.05）. The recurrence rates were 1.96% and 11.76% in the exfoliation group at 6 months and 12 months, respectively, which were lower than those in the suction group（7.84% and 19.61%）, but there was no significant difference（P〈0.05）. The total satisfaction rate of the exfoliation group was 98.04, which was higher than that of the suction group（92.16%）, but the difference was not statistically significant（P〈0.05）. Conclusion both axillary striated double incision dissection and swelling negative pressure aspiration are effective in the treatment of axillary odor. Method, but double incision of axillary striatum has better clinical effect, fewer complications and higher safety, so it is worth popularizing.

关 键 词：腋横纹双切口剥离术 肿胀负压抽吸术 腋臭 有效性 安全性 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]