三种不同切口下大汗腺修剪术治疗腋臭的疗效比较

发布时间：2018-08-19 06:49

【摘要】：目的评价三种不同切口下大汗腺修剪术治疗腋臭的临床疗效。方法将入选的182例腋臭患者随机分为3组,分别在腋后壁V形切口皮下修剪法、腋后壁W形切口皮下修剪法和腋皱襞切口皮下修剪法下行大汗腺清除术。结果腋后壁V形切口皮下修剪法、腋后壁W形切口皮下修剪法和腋皱襞切口皮下修剪法下行大汗腺清除术的有效率依次为98.33%,96.72%,85.08%,复发率依次为1.67%,3.28%,4.92%,差异均无统计学意义(P均0.05),但其并发症发生率(依次为8.33%,22.95%和37.70%)差异有统计学意义(P0.01),其中腋后壁V形切口皮下修剪法并发症发生率低于其他两种方法的并发症发生率。结论该三种不同切口下大汗腺清除术治疗腋臭的疗效相当,但腋后壁V形切口皮下修剪法治疗腋臭具有术后并发症少等优点。
[Abstract]:Objective to evaluate the clinical effect of three kinds of major sweat gland pruning under different incisions in the treatment of axillary osmidrosis. Methods 182 patients with axillary osmidrosis were randomly divided into 3 groups: subcutaneous pruning of posterior axillary wall V incision, subcutaneous trimming of posterior axillary W-incision and subcutaneous pruning of axillary fold incision. Results the subcutaneous pruning of the V-shaped incision in the posterior axillary wall, The effective rates of subcutaneous pruning of W-shaped incision in posterior axillary wall and hypodermic pruning of axillary fold incision were 98.33 and 96.72%, respectively, and the recurrence rate was 1.67 and 3.28 and 4.92, respectively. There was no significant difference (P 0.05), but the incidence of complications was as follows: There was significant difference between 8.33 (22.95%) and 37.70% (P0.01). The incidence of complications in the subcutaneous trimming of the posterior axillary wall was lower than that in the other two methods. Conclusion the treatment of axillary osmidrosis by the three different incisions has the same effect, but the subcutaneous pruning of the V-shaped incision on the posterior axillary wall has the advantages of less postoperative complications and so on.
【作者单位】： 平顶山市第二人民医院;
【分类号】：R758.741
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本文编号：2190981