腋皱襞小切口皮下修剪术治疗腋臭患者的临床效果及对术后并发症发生情况的影响  

Clinical effect of axillary fold small incision subcutaneous pruning in the treatment of patients with axillary osmidrosis and its influence on the occurrence of postoperative complications

作　　者：时永强[1] 范治强 李文超 SHI Yongqiang;FAN Zhiqiang;LI Wenchao(Plastic Surgery Department,Baoji People's Hospital,Baoji 721000,China)

机构地区：[1]宝鸡市人民医院整形外科,陕西宝鸡721000

出　　处：《临床医学研究与实践》2025年第2期65-68,共4页Clinical Research and Practice

摘　　要：目的探究腋皱襞小切口皮下修剪术治疗腋臭患者的临床效果及对术后并发症发生情况的影响。方法选取2021年5月至2022年10月我院收治的142例腋臭患者作为研究对象,根据治疗方式不同将其分为对照组(n=68)和观察组(n=74)。对照组采用搔刮抽吸术治疗,观察组采用腋皱襞小切口皮下修剪术治疗。比较两组的临床疗效、围术期指标、疼痛情况及并发症发生情况。结果观察组的治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。观察组的手术时间、拆线时间及住院时间长于对照组,差异具有统计学意义(P<0.05)。术后1、3、7 d,两组的视觉模拟量表(VAS)评分比较,差异无统计学意义(P>0.05)。观察组的并发症总发生率为6.76%,明显低于对照组的22.06%,差异具有统计学意义(P<0.05)。结论腋皱襞小切口皮下修剪术治疗腋臭患者有助于提高临床疗效,降低并发症发生率,在术后疼痛控制方面与搔刮抽吸术相当,但在手术时间、拆线时间及住院时间方面劣于搔刮抽吸术。Objective To explore the clinical effect of axillary fold small incision subcutaneous pruning in the treatment of patients with axillary osmidrosis and its influence on the occurrence of postoperative complications.Methods A total of 142 patients with axillary osmidrosis admitted in our hospital from May 2021 to October 2022 were selected as the research objects.According to different treatment methods,the patients were divided into control group(n=68)and observation group(n=74).The control group was treated with curettage and aspiration,and the observation group was treated with axillary fold small incision subcutaneous pruning.The clinical efficacy,perioperative indicators,pain and occurrence of complications were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The operation time,suture removal time and hospitalization time in the observation group were longer than those in the control group,and the differences were statistically significant(P<0.05).At 1,3 and 7 d after operation,there was no significant difference in Visual Analogue Scale(VAS)score between the two groups(P>0.05).The total incidence of complications in the observation group was 6.76%,which was significantly lower than 22.06%in the control group,and the difference was statistically significant(P<0.05).Conclusion Axillary fold small incision subcutaneous pruning in the treatment of patients with axillary osmidrosis is helpful to improve the clinical efficacy and reduce the incidence of complications.It is comparable to curettage and aspiration in postoperative pain control,but inferior to curettage and aspiration in terms of operation time,suture removal time and hospitalization time.

关 键 词：腋皱襞小切口皮下修剪术 搔刮抽吸术 腋臭 并发症 

分 类 号：R622[医药卫生—整形外科]