腋下多个平行腋皱襞微切口大汗腺及浅层脂肪剪除术治疗腋臭疗效分析  

Analysis of the effectiveness of multiple parallel axillary sulcus microincisions for excising apocrine glands and subcutaneous fat in the treatment of axillary osmidrosis

作　　者：李孟喜 杨秋雨 王莉 薛亮[1] 董晓辉[1] 杨杰[1] 安静[1] 袁好军[1] 孙宇航[1] LI Mengxi;YANG Qiuyu;WANG Li;XUE Liang;DONG Xiaohui;YANG Jie;AN Jing;YUAN Haojun;SUN Yuhang(Departmentof Plastic and Aesthetic Surgery,Affiliated Hospital of Hebei Engineering Unibersity,Handan 056000,China)

机构地区：[1]河北工程大学附属医院整形美容科,河北邯郸056000 [2]河北工程大学临床医学院,河北邯郸056000

出　　处：《中国美容整形外科杂志》2024年第5期291-294,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：河北省卫健委基金(20190949)。

摘　　要：目的 观察腋下多个平行腋皱襞微切口大汗腺及浅层脂肪剪除术治疗腋臭的效果。方法 自2019年9月至2022年12月,河北工程大学附属医院整形美容科收治48例腋臭患者,按照随机数表法分为研究组(24例)和对照组(24例),研究组采用腋下多个平行腋皱襞微切口大汗腺及浅层脂肪剪除术;对照组采用腋下皱襞双切口大汗腺修剪术。观察并分析两组患者治疗效果、并发症、愈合时间及满意度情况。结果 两组患者在一般资料、疗效比较,差异无统计学意义(P>0.05);在并发症方面,研究组切口糜烂发生率及切口裂开发生率低于对照组(P<0.05);血肿和表皮坏死发生率两组差异无统计学意义(P>0.05);在愈合时间上,研究组患者平均愈合时间更短(P<0.05);在满意度上,研究组患者满意度更高(P<0.05)。结论 腋下多个平行腋皱襞微切口大汗腺及浅层脂肪剪除术治疗腋臭,切口糜烂及裂开发生率较小,愈合更快,患者满意度较高,值得临床推广应用。Objective To assess the effectiveness of multiple parallel axillary sulcus microincisions for excising apocrine glands and subcutaneous fat in the treatment of axillary osmidrosis. Methods From September 2019 to December 2022, Department of Plastic and Aesthetic Surgery at Affiliated Hospital of Hebei Engineering University admitted 48 patients with axillary osmidrosis. Patients were randomly allocated to a research group(n=24) and a control group(n=24) using a random number table. The research group underwent multiple parallel axillary sulcus microincisions for apocrine gland and subcutaneous fat excision, while the control group received a traditional bilateral axillary sulcus apocrine gland resection. Both groups were compared in terms of treatment outcomes, complication rates, healing times, and patient satisfaction. Results There were no significant differences in baseline data between the two groups(P>0.05). In terms of complications, the incidence of hematoma and epidermal necrosis showed no significant difference between the groups(P>0.05), but the research group had significantly lower rates of wound necrosis and dehiscence than the control group(P<0.05). The average healing time was shorter in the research group(P<0.05), and patient satisfaction was significantly higher in the research group(P<0.05). Conclusion The use of multiple parallel axillary sulcus microincisions for excising apocrine glands and subcutaneous fat is an effective treatment for axillary osmidrosis, associated with lower risks of incisional complications, faster healing, and greater patient satisfaction. It is recommended for clinical application and promotion.

关 键 词：腋臭 多微小切口 手术方式 满意度 皮下血肿 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]