基于微创原则负压抽吸术与小切口剪刮术治疗腋臭的临床比较  

Clinical comparison between negative pressure aspiration based on minimally invasive principles and small incision clipping and scraping in the treatment of axillary odor

作　　者：常延祥 冯鹏[1] 崔桂芳 CHANG Yanxiang;FENG Peng;CUI Guifang(Department of Surgery,West District Hospital,Nanyang First People's Hospital,Nanyang 473000,Henan Province,China)

机构地区：[1]南阳市第一人民医院西区医院外一科,河南南阳473000

出　　处：《中国医疗美容》2025年第3期24-27,共4页China Medical Cosmetology

摘　　要：目的探讨基于微创原则负压抽吸术与小切口剪刮术治疗腋臭症的临床效果及安全性分析。方法根据治疗方法不同将2022年3月至2024年3月南阳市第一人民医院西区医院收治的87例腋臭症患者分为44例采用微创负压抽吸术治疗的负压组和43例采用小切口剪刮术治疗的切口组,比较两组患者术后临床效果、术后复发率、并发症发生率。结果负压组总有效率81.82%小于切口组总有效率95.35%(P<0.05);负压组并发症总发生率4.55%显著低于切口组患者18.60%,差异有统计学意义(P<0.05);负压组总复发率22.73%高于切口组6.97%(P<0.05);术前两组多汗症疾病严重程度量表(HDSS)评分无差异(P>0.05),术后负压组HDSS评分高于切口组,且负压组伤口愈合时间短于切口组(P<0.05)。结论小切口剪刮术在汗腺清除和术后复发率上均优于负压抽吸术,但负压抽吸术在术后并发症发生率上低于小切口剪刮术,且因切口小愈合时间短,恢复起来更快,安全性更高,更适合临床应用。Objective To explore the clinical effect and safety analysis of minimally invasive negative pressure suction and small incision scissor scraping in the treatment of axillary hyperhidrosis.Methods According to the different treatment methods,87 cases of axillary hyperhidrosis patients admitted to the West District Hospital of the First People's Hospital of Nanyang City from March 2022 to March 2024 were divided into 44 cases of negative pressure group treated with minimally invasive negative pressure suction and 43 cases of incision group treated with small incision scissor scraping,and were compared with the postoperative clinical effect,postoperative relapse rate,and the complication rate.Results The total effective rate of 81.82%in the negative pressure group was smaller than the total effective rate of 95.35%in the incision group(P<0.05);the total complication rate of 4.55%in the negative pressure group was significantly lower than that of 18.60%of patients in the incision group,and the difference was statistically significant(P<0.05);the total recurrence rate of 22.73%in the negative pressure group was higher than that of 6.97%in the incision group(P<0.05);the HDSS scores of the two groups before operation had no difference(P>0.05),postoperative HDSS score of the negative pressure group was higher than that of the incision group,and the wound healing time of the negative pressure group was shorter than that of the incision group(P<0.05).Conclusion Smallincision scissoring is better than negative pressure aspiration in sweat gland removal and postoperative recurrence rate,but negative pressure aspiration is lower than small-incision scissoring in postoperative complication rate,and because of the small incision and short healing time,it is more suitable for clinical application because of faster recovery and higher safety.

关 键 词：腋臭症 微创负压抽吸术 小切口剪刮术 并发症 

分 类 号：R758.6[医药卫生—皮肤病学与性病学] R622[医药卫生—临床医学]