黄金微针与大汗腺剪除术治疗臭汗症的效果比较  

Comparison of golden microneedle and subcutaneous apocrine gland excision in treatment of axillary osmidrosis

作　　者：陈优优 李九旭 董祥林[1] Chen Youyou;Li Jiuxu;Dong Xianglin(Department of Plastic Surgery,the First Affiliated Hospital,Xinjiang Medical University,Urumqi 830001,China)

机构地区：[1]新疆医科大学第一附属医院整形外科,乌鲁木齐830000

出　　处：《中华医学美学美容杂志》2023年第5期381-384,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的:探讨黄金微针与皮下大汗腺剪除术治疗臭汗症的效果及术后并发症的发生情况。方法:2019年7月至2020年11月,新疆医科大学第一附属医院整形外科治疗臭汗症患者42例,男13例、女29例(年龄16~47岁,平均23岁),黄金微针组20例患者接受黄金微针治疗,微创手术组22例患者接受皮下大汗腺剪除术。术后随访3~6个月,比较两组患者术前臭汗症严重程度、术后疗效以及术后并发症的发生情况。结果:有效率:黄金微针组18例,占90%;微创手术组22例,占100%,两组比较差异有统计学意义(P<0.05)。相关性:黄金微针组术前臭汗症分级与术后疗效之间呈负相关,微创手术组由于P>0.05,其相关系数无统计学意义。并发症比较:黄金微针组4例,占20.0%;微创手术组10例,占45.5%,差异有统计学意义(P<0.05)。结论:黄金微针治疗效果低于微创手术,臭汗症程度越高,疗效越差。黄金微针治疗臭汗症的术后并发症发生率低于微创手术。Objective To investigate the effect of gold microneedle and subcutaneous apocrine excision in the treatment of bromidrosis and the occurrence of postoperative complications.Methods From July 2019 to November 2020,42 patients(13 males and 29 females;16-47 years old,average 23 years old)were treated with plastic surgery in the First Affiliated Hospital of Xinjiang Medical University,20 patients received gold microneedle treatment,and 22 patients received minimally invasive surgery(subcutaneous apocrine excision surgery).The patients were followed up for 3-6 months after operation,and the severity of preoperative bromidrosis,postoperative curative effect and occurrence of postoperative complications were compared between the two groups.Results Eighteen cases were effective in the gold microneedle group,accounting for 90%;22 cases were effective in the minimally invasive surgery group,accounting for 100%;the difference between the two groups was statistically significant(P<0.05).There was a negative correlation between the grade of bromidrosis before operation and the curative effect after operation in the gold microneedle group,and the correlation coefficient was not statistically significant in the minimally invasive operation group(P>0.05).Complications occurred in 4 cases in the gold microneedle group,accounting for 20.0%;10 cases presented with complications in the minimally invasive surgery group,accounting for 45.5%;the difference was statistically significant(P<0.05).Conclusions The therapeutic effect of gold microneedle is lower than that of minimally invasive surgery,and the higher the degree of bromidrosis,the worse the curative effect.The postoperative complication rate of gold microneedle treatment for bromidrosis is lower than that of minimally invasive surgery.

关 键 词：臭汗症 皮肤外科手术 微创 黄金微针 小切口 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]