浙江创伤外科
浙江創傷外科
절강창상외과
ZHEJIANG JOURNAL OF TRAUMATIC SURGERY
2014年
2期
177-179
,共3页
腋臭%大汗腺%微创%皮下搔刮%大汗腺修剪
腋臭%大汗腺%微創%皮下搔颳%大汗腺脩剪
액취%대한선%미창%피하소괄%대한선수전
Osmidrosis%Apocrine sweat glands%Minimally invasive surgery%Subcutaneous curettage%Apocrine pruning
目的：比较微创刮除术与大汗腺修剪术治疗腋臭的临床疗效及安全性。方法2011年3月至2012年3月，拟行手术治疗的腋臭患者114例共211侧，按照随机数字表分为两组，一组56例共104侧，采用微创大汗腺刮除术；另一组58例107侧，行小切口皮下大汗腺修剪术。平均随访1.4年，比较两组术后并发症发生率、切口加压包扎时间、疤痕长度及复发率差异。结果刮除术组术后并发症发生率低于修剪术组（4.8%vs.12.1%，χ2=4.409， P=0.035），复发率高于修剪术组（12.5%vs.3.7%，χ2=5.465， P=0.019）；刮除术组加压包扎时间、疤痕长度均低于修剪术组[(2.8±0.2）天 vs.(7.1±0.5）天， t=82.436， P<0.001；（1.0±0.4）cm vs.（4.3±0.9） cm， t=34.577， P<0.001]。结论微创刮除术术后并发症少，而大汗腺修剪术术后复发率低，两种手术治疗腋臭均安全有效。
目的：比較微創颳除術與大汗腺脩剪術治療腋臭的臨床療效及安全性。方法2011年3月至2012年3月，擬行手術治療的腋臭患者114例共211側，按照隨機數字錶分為兩組，一組56例共104側，採用微創大汗腺颳除術；另一組58例107側，行小切口皮下大汗腺脩剪術。平均隨訪1.4年，比較兩組術後併髮癥髮生率、切口加壓包扎時間、疤痕長度及複髮率差異。結果颳除術組術後併髮癥髮生率低于脩剪術組（4.8%vs.12.1%，χ2=4.409， P=0.035），複髮率高于脩剪術組（12.5%vs.3.7%，χ2=5.465， P=0.019）；颳除術組加壓包扎時間、疤痕長度均低于脩剪術組[(2.8±0.2）天 vs.(7.1±0.5）天， t=82.436， P<0.001；（1.0±0.4）cm vs.（4.3±0.9） cm， t=34.577， P<0.001]。結論微創颳除術術後併髮癥少，而大汗腺脩剪術術後複髮率低，兩種手術治療腋臭均安全有效。
목적：비교미창괄제술여대한선수전술치료액취적림상료효급안전성。방법2011년3월지2012년3월，의행수술치료적액취환자114례공211측，안조수궤수자표분위량조，일조56례공104측，채용미창대한선괄제술；령일조58례107측，행소절구피하대한선수전술。평균수방1.4년，비교량조술후병발증발생솔、절구가압포찰시간、파흔장도급복발솔차이。결과괄제술조술후병발증발생솔저우수전술조（4.8%vs.12.1%，χ2=4.409， P=0.035），복발솔고우수전술조（12.5%vs.3.7%，χ2=5.465， P=0.019）；괄제술조가압포찰시간、파흔장도균저우수전술조[(2.8±0.2）천 vs.(7.1±0.5）천， t=82.436， P<0.001；（1.0±0.4）cm vs.（4.3±0.9） cm， t=34.577， P<0.001]。결론미창괄제술술후병발증소，이대한선수전술술후복발솔저，량충수술치료액취균안전유효。
Objective To compare the clinical efficacy and safety of micro-invasive curettage and apocrine sweat gland pruning for the treat-ment of osmidrosis. Methods 211 sides of 114 patients with osmidrosis from Mar. 2011 to Mar. 2012 were randomly divided into two groups , a group of 56 cases with a total of 104 side were treated with micro-invasive curettage; another group of 58 cases with a total of 107 sides were treated with small incision subcutaneous apocrine pruning. The average follow up period was 1.4 years, the differences of postoperative complication rate, time, length of incision of pressurized bandaging scar and recurrence rate between two groups was compared. Results The postoperative complica-tion rate in curettage group was lower than that in pruning group (4.8%vs.12.1%,χ2=4.409, P=0.035), and the recurrence rate was higher than that of pruning group (12.5%vs. 3.7%,χ2=5.465, P=0.019). The pressure dressing time, scar length in curettage group were lower than those in pruning group ((2.8±0.2)d vs. (7.1±0.5)d, t=82.436, P<0.001; (1.0±0.4)cm vs.(4.3±0.9) cm, t=34.577, P<0.001). Conclusion The micro-invasive curettage has fewer postoperative complications, but the apocrine sweat gland pruning has lower recurrence rate. Both of two kinds of operation treat-ment for the treatment of osmidrosis are safe and effective.
